NOTICE OF INTENT TO CANCEL POLICY# 1-15 MXX 8043527
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FIREMANS FUND
INSURANCE aMPANIES
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JUN29 1990
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I- 2-15 MXX 80435257
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City of Clearwater
P.O. Box 4748
Clearwater, Fl 34618
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DATE
06- 27 -90'11
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NOTICE OF THE TERMINATION OF INSURANCE
NAME OF INSURED
KIND OF POLICY AND NUMBER POLICY EFFECTIVE DATE
Suncoast Aviation, Inc.
DBA: Suncoast Air Center
2-15 MXX 80435257 06-19-90
Florida
ARE HEREBY NOTIFIED THAT THE ABOVE DESCRIBED
POLICY WILL TERMINATE AS OF 12:01 A. M. ON KJ CANCELATION
BY
ffi-19-90 D EXPIRATION
REASON FOR CANCELATION
Coverage Placed Elsewhere
A STAMP OR NOTATION OF ACKNOWLEDGMENT OF THE RECEIPT OF THIS NOTICE ON THE DUPLICATE COpy IF ENCLOSED IS REQUESTED,
PLEASE MAIL IT TO:
o )fIREMAN'S FUND INSURANCE COMPANY 0 THE AMERICAN INSURANCE COMPANY 0 NATIONAL SURETY CORPORATION
o ASSOCIATED INDEMNITY CORPORATION 0 AMERICAN AUTOVJiBILE INSURANCE COMPANY
ADDRESS: L.1J/l ' f) /) j, /7
P.O. Box 18025 II I. ~/
Tarpa.' Fl 33679 AUTHORIZED REPRESENTATIVE
WE GIVE YOU THIS NOTICE IN ACCORDANCE WITH AND BECAUSE OF THE PROVISIONS OF THE SAID POLICY,
485027-7-76