Accident Detail Receipt
Date And Time 01-Jan-1970 / 6:00 pm
Place of Accident On Dondaicha To Shindkheda Road Bamhane Shiwar Near Bharat Subhash Patil Farm
CR NO/ TAR No/ SDE NO Cr No. 141/2017 IPC 279,337.338.427 MV Act 184
Name of the Injured/ Deceased Deceased - Pratap Mahadu Bhil A/P Bamhane Tal. Shindkheda Dist Dhule
Name of The Hospital to which he/she was removed Siddheshwar Hospital Dhule
Number of vehicle and type of the vehicle Bullock Cart Maruti Suzuki Wagon R No. MH - 15 - EP - 4883
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. Yuvraj Dhudku Patil A/P Kalmadi Tal. Shindkheda Dist Dhule
Name of the owner of the vehicle as it stand on the date of the accident Subhash Rajdhar Patil A/P Varsus Tal. Shindkheda Dist. Dhule
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. ICICI Lombard General Insurance Company
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate 3001/MI-04410624/00/000 06 Feb - 2017 To 05 Feb - 2018
Action Taken if any, and the result thereof. Issue Notice Of CRPC 41 (1)(A) To Accused

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