HomeMy WebLinkAboutPetData - Insurance CertificatepStateAn n
a State Farm Lloyds
PO Box 853925
Richardson, TX 75085 -3925
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AT 1 M -08- 3864 -FC07 U F
003583 0004
CITY OF GILROY
ITS OFFICERS 8 EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020 -6141
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NOTICE OF REINSTATEMENT
Office
POLICY NUMBER 93 -TV- 3354 -6
REINSTATEMENT DATE AUG 08 2017
DATE PROCESSED JUL 25 2017
AMOUNT PAID No Amount_ Due
PLEASE KEEP FOR YOUR RECORDS
We are pleased to acknowledge receipt of the premium due on this policy. This policy will be continued in force subject to its
printed terms and conditions upon the payment check clearing through your bank.
Insured:
PET DATA INC
PO BOX 141929
IRVING TX 75014 -1929
Agent: MIKE BAKER CLU
Telephone: (214) 780 -0900
01
3583 AIN
530 -17714 10 -07 -2013 (olf3072e)
Location:
STE 1100, 1105& 1110
1850 CROWN DR
FARMERS BRANCH TX
75234 -9441
SFPP No: 1238498908