NOTICE OF CANCELLATION OR NONRENEWAL OF LIABILITY INSURANCE
OF
POLICY NO,
RE 703527
NIT1CE OF CANCEL~F~~~~N OR NONRENErAL
f.iahilit'y Tn!'ll1r:mr~
ISSUED THROUGH AGENCY OR OFFICE AT:
KINO OF POLICY
CANCELLATION OR TERMINATION WILL TAKE EFFECT AT:
(DATE) (HOUR-STANDARD TIME)
Creative Insurance Specialists
P.O. Box 2074, Sanford, FL 32772
2-17-88
12:01 A.M.
DATE OF MAILING
-5-88 Isl
INSURANCE
COMPANY
NAME AND
ADDRESS
OF INSURED
Riunione Adriatica DiSicurta
West Coast Water Sports
2273 Willow Tree Drive
Clearwater, FL 33576
(Specific information concerning the cancellation
or non renewal has been given to the Insured.)
INSURANCE.
COMPANY
NAME AND
ADDRESS
OF LIEN-
HOLDER
TO LIENHOLDER:
You are hereby notified that the agreement under the Loss Payable Clause payable to you as Lienholder, which is a part of the above policy, issued to the above
insured, is hereby cancelled (or terminated) in accordance with the1:onditions of the policy, said cancellation (or termination) to be effective on and after the hour
and date mentioned above,
Riunione Adriatica DiSicurta
City of Clearwater
P. O. Box 4748
Clearwater, FL 34618-4748
~~;. I'~~~~;o & SIJpp'1'
GU 8817g (Ed, 11-83) LO."\'\~lt,,,,:"tlcJsco @ 1983
LIENHOLDER'S COPY
f. 1)1(1'_
",,-/+'j '-- ~
'-, !
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. .
YOU. ARE HEREBY NOTIFIED THAT MORTGAGE OR LOAN AGREEMENT, PAYABLE TO YOU AS MORTGAGEE OR LlEN-
HOLDER.WHICH IS A PART OF THE ABOVE POL.ICY. ISSUED TO THE ABOVE INSURED. IS HEREBY CANCELLED IN
ACCORDANCEWITHT~~<<DIIIStmFltiaa!r~I~ANCELLATION TO BE EFFECTIVE ON AND AFTER THE
HOUR AND DATE MENTIONED ABOVE. . .. .
Logan Insurance Agency
3801 North 9th Avenue
Pensacola, FL 32503
THIS NOTICE MAILED TO:
I.