HomeMy WebLinkAboutCANCELLATION - So. Oregon Womens Access to Credit
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State Farm Fire and Casualty Company
PO Box 5000
Dupont, WA 98327.5000
ACKNOWLEDGMENT OF
CANCELLATION REQUEST
INIUIANC,
1-15- 2080-F472 F U
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CITY OF ASHLAND
ITS OFFICERS EMPLOYEES &
AGENTS
C/O CITY HALL
20 E MAIN ST
ASHLAND OR 97520-1850
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Business- Office Policy
POLICY NUMBER: 97-BG-6527-1
DATE CANCELED: FED 28 2007
RETURN PREMIUM: None
To: 0 INSURED 0 MORTGAGEE 0 OTHER
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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.
*The return premium (if any) is being handled through State Farm Payment Plan - Account # 1031140215
Insured:
SOUTHERN OREGON WOMENS
ACCESS TO CREDIT INC
33 N CENTRAL AVE STE 418
MEDFORD OR 97501-5939
Location:
MULTIPLE LOCATIONS
Agent: RUSSELL P BROWN
Telephone: (541)776-8466 or (541) 776-8462
SFPP No:
1031140215
01
001
0991 AI
537-147.11 Rev. 09-27-2004 (01131221)
DATE PROCESSED
JAN 152007
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