CANCELLATION NOTICE (008)
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INSURANC~ C()~Pl\~ ()~. N.:<:)~':L'.~.AMERICA - ~'i
(Insen Name of Issuing Company) ~
P. O. BOX 30390, TAMPA, FL 33630
.... .(Add~~~~l .. .."
INSURED
WEEK'S TOWING & AUTOMOTIVE, INC.
P. O. BOX 4936
CLEARWATER, FL 33518
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CANCELLATION NOTICE
You are notified that we are herewit
cancelling your policy indicated below i
accordance w~th its t~rms, and all liabi;itt
thereunder will terminate, effective al
stated below. Unearned premium, if an .
(if not tendered), will be refunded 0
demand.
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POLICY NUMBER
HO 03 65 00 2
AGENT
POE & ASSOCIATES, INC. & PWOF
P. O. BOX 1348
TAMPA, FL. 3360.1-
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LOCA TION
_Q!_different from Insured's address)..
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CANCELLA TION EFFECTIVE
THE 5th DAYOFOCTOBER19 87
A T THE HOUR STATED IN THE POLICY
FOR THE INCEPTION OF THE POLICY.
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OFFICE OR AGENCY PREPARING THIS NOTICE
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TAMPA, FLORIDA I
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UCvY\u..J'.fl- C~l!
DANIEL A'N''i'izeGR~E'N
LOSS
PAYEE#1
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REASON: NON-COMPLIANCE
WITH LOSS CONTROL ..1...'
RECOMMENDATIONS
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OSS
.PAYEE#2
snd 8/17/87
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~MS-6B80a Ptd. in U.S.A.
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