HomeMy WebLinkAboutInsurance Certificate: Lelas Cafe EXPIRATION
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
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EXPIRATION NOTICE
44PB459409
Policv Effective<')PolicEx ifa!iol1\:
05/11/2010 05/11/2011
THE CITY OF ASHLAND
20 E MAIN STREET
ASHLAND OR 97520
HART INSURANCE AGENCY
POBOX 1240
GRANTS PASS OR 97528
03792
Dear Valued Customer:
As of the Effective Date shown above, we have not received the renewal premium payment
from the policyholder. Therefore, this policy where you are listed as an additional interest
was not renewed and has expired.
MF-A8
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
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EXPIRATION NOTICE
44PB459409
Policyholder:
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
LELAS CAFE
LELAS CAFE LLC DBA
258 A STREET #3
ASHLAND OR 97520
05/19/2010 A8M Add'l Interest