HomeMy WebLinkAboutInsurance Cancellation: Shea Cathey State Farm Insurance U
PO Box 2915
Bloomington, IL 61702-2915 4w StateFarme
AT1 000204 1202 20 • ' • State Farm Fire and Casualty Company
CITY OF ASHLAND A stock company with home offices in Bloomington, Illinois
i 20EMAIN ST
' `7, ASHLAND OR 97520-1814 . NOTICE OF CANCELLATION
Cancellation date: September 28,2022
Fo 11"111111111111111111111111'1111Nonpayment of Premium
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Payer: Insured • Your State Farm Agent
Policy number: 97-CW-A392-6 Jon Snowden
Policy type: Businessowners Jon Snowden Insurance Agcy Inc
420 Bridge Street
Ashland, OR 97520
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• Bus:541-482-2461
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Insured: SHEA CATHEY • Location: 826 B St •
Ashland OR 97520-2030
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IMPORTANT MESSAGE(S)
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 12:01 a.m. standard time (or NOON if required by state law) on the "Date Canceled" shown
-aboVe: If the-Jur 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 20 days from the"Prepared"date.
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Policy number:97-CW-A392-6 Page 1 of 1
Prepared:September 7,2022
AI.FIreCNP.OR.1 • • 1009471 2004 153272 204 09-11-2021