MEMO REGARDING INSURANCE EXPIRATION FOR NON PAYMENT
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CITY OF CLEARWATER
Interdepartmental Correspondence
TO:
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SUBJECT: Pending Expiration/Action Required _ Contract ~l1C\.E~'':;' '.)\.;i?l.
WILLIAM HELD, MARINE
FROM:
Cynthia Goudeau, City Clerk
COPIES:
Risk
DATE:
06/08/94
This is to inform you that the below listed item is approaching
expiration. Please respond by returning a copy of this notice
indicating that the item in question has been received or is being
processed. If the item in question (such as an insurance
certificate, report, supplemental payment) has not been received
by / / and the city Clerk Department notified, a second
notice will be sent.
Thank you.
Item requiring action: INSURANCE EXPIRATION.
Party: MARINA DENTAL & DENTURE CLINIC
DAVID PETRIK - SUITE 20
Due: 06/03/1994
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Date: irL//L/ LV Action taken: c-do Q a .'7;/6' C'~<~.;:
/ / ,
No: 19-072-00
Has item been received or finalized? CX.~ NO
NEW Expiration/Action date: __/__/__
(circle one)