COI - Lynx Technologies, Inc. - Expires 2022-06-18StateFarm
00
A 5.
8
9
wo
State Farm General Insuffince Company
PO Box 853925
Richardson, TX 75085-3925
AT1 M-02- 3269-FC05 U F
000756_0003_
CITY OF GILROY, ITS OFFICERS,
REPRESENTATIVES AGENTS &
EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020-6141
111.91191111111111111111111111hillihrilliiii.111111111111.0
Payer - Insured
Important Message(s)
R E.PCiEBWTEab
JUN 2 7 2022
GILROY CITY CLERK'S OFFICE
AI-V
NOTICE OF CANCELLATION - Additional Intered
POLICY NUMBER 97-0E-4200-7
Office
DATE CANCELED JUN 18 2022
Payer - Insured
Insured:
LYNX TECHNOLOGIES INC
Location: 1350 41ST AVE STE 201 & 202
CAPITOLA CA
95010-3935
As of the "Date Prepared" shown below, we have not received the premium required to keep this policy in force. Therefore, this
policy is canceled effective 12:Q1 a.m. (or NOON if required by state law) on the "Date Canceled" shown above. If the full
premium has been paid and accepted before or on the date of cancellation, you will receive a Notice of Reinstatement, verifying
that your coverage continues under this policy. Otherwise, coverage will end. Please contact your State Farm agent with any
questions.
Your interest is protected for 2Q days from the "Prepared" date.
Agent
Telephone
StateFarm
co
A ALTHOUSE INS AND FIN SVC IN
(831) 420-1555
MOVING? PLEASE sag YOUR STATE FARM AGENT.
INSURED LYNX TECHNOLOGIES INC
POLICY NUMBER 97-QE-4200-7
537-163.1 08-09-2010 (o11301ob)
For office use only 0311
Prepared: JUN 22 2022
N 04 AI-V
11,1easefolclaMtearlierei
M- 3269-FC05
Please keep this part for your record.
Prepared: JUN 22 2022
Please contact your state Farm Agent if you
have any questions about your policy,
FIRE CANCEL
018
When you provide a check as payment, you authorize us either to use.information from your check to make a one-time
electronic fund transfer from your account or to process the payment as a check transaction. When we use information
from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same
day we receive your payment, and you will not receive your check back from your financial institution.
537-162.20 08-09-2010 (o1f301pb)