HomeMy WebLinkAboutCOI - Gorden Gibson - Expires 2020-08-13StateFarm State Farm General Insurance Company
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0101-ST-0000
PO Box 853925
Richardson, TX 75085-3925
AT1 M-02- 6903-F13FF
001255 0005
CITY OF GILROY ITS OFFICERS
OFFICIALS, AND EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020-6141
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ACKNOWLEDGMENT OF
CANCELLATION REQUEST
Businessowners
POLICY NUMBER: 97-CZ-Z281-5
DATE CANCELED: APR 23 2020
RETURN PREMIUM: None
To: INSURED E MORTGAGEE OTHER
Dear Policyholder,
As requested, this policy has been canceled effective 12:01 a.m. (or the time which is required by state law) as of the Date
Canceled shown above. We thank you for giving us the opportunity to provide this insurance.
Insured: Location:
GIBSON, GORDEN 950 PUEBLO ST
950 PUEBLO ST GILROY CA
GILROY CA 95020-9358 95020-9358
Agent: STEVE BOYD
Telephone: (408) 842-9354
01
1256 Al-V
537-147.12 09-11-2013 (01f3122g)
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DATE PROCESSED
AUG 13 2020