NOTICE OF PAYMENT RECEIVED ON AUGUST 13, 1998
NATIONAL GRANGE MUT INS CO
PO BOX 2004
KEENE, NEW HAMPSHIIE 03431
I
08/09/99
BUSN POLICY BPG15254
MORTGAGEE/LIENHOLDER
INSURED
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVE.
CLEARWATER, FL 33756
PICKLES PLUS TOO INC
320 CLEVELAND STREET
CLEARWATER, FL 33758
DEAR POLICYHOLDER, THANK YOU FOR YOUR PAYMENT. YOUR INSURANCE
COVERAGE HAS BEEN REINSTATED AND REMAINS IN FORCE. YOUR
REINSTATEMENT IS DEPENDENT UPON TIMELY PAYMENT BEING HONORED
BY THE FINANCIAL INSTITUTION AND IF PAYMENT IS NOT HONORED BY
THE FINANCIAL INSTITUTION, THE POLICY WILL TERMINATE ON THE DATE
AND TIME SHOWN ON THE CANCELLATION NOTICE ISSUED FOR NONPAYMENT
OF PREMIUM.
00107
NATIONAL GRANGE MUT INS CO
AGENCY
090168004
MITCHELL AGENCY INC.
14290 WALSINGHAM RD.
LARGO, FL 33774
p 1~ (e}~ I'IE D
RECEIVED
AUr, 1 3 1998
..\,Ub1. 8 1999
RISK iViHI..AGEMENT
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