NOTICE OF CANCELLATION�' .
�
�ITIZENS
Citizens Property
Insurance Corporation
Citiaens Service Center
6fi7fi Corporata Center Parkway
Jacksonville, FL 32218-0973
Date of Notice: October 6, 2011
Other Additianal Interest:
zes� City Of Clearwater
112 S �SCEOLA AVE
CLEARWATER, FL 3375fi-5106
CHi1.li[��[�I-i
Send All Ramittances To:
citizens
PO 8ox 17850
Jacksonville, FL 32245-7850
Policy Number: FRJH581 �45-01
Named Insured:
Kyle C Romanosky
1439 WILSON RD
CLEARWATER, FL 33755
NOTICE OF CANCELLATION FOR N�N PAYMENT OF PREMIUM
--- ---- - ------- -- _---€F��€�-�Id�� '!0/2�OF24�-7-A�--�2��'! o4:A41: ��4�-Y�R�1-���!!�-___ _..
We have not received premium payment on policy FRJH5612245-01. Therefore, your policy will be cancelled as of
the date and time shown abave.
If payment of the amount past due is received before the effective date of cancellation, the policy will continue in full
force and effect and we will mail you a notice withdrawing this cancellation.
Please contact your agent if you have any questions:
BRENDA S WHITMAN
5308 Gulfport Blvd.
Gulfport, FL 33707
(727) 34r1668
MID: 3312 / AID: 331 Z! FID: 5
Please detach and submit this ortian with
FRJH5817.Z45-07 Kyle C Ramanasky
Payment must be received before
10/20I2011
Other AddlUonal Interest Copy
CItIZ�f1S
PO Bpx 17850
Jacksonville, FL 32245-7850
$294.00
Total Pa ment Enclosed
M2ke Checks Payable to
Citizens
FRJH581224589999999`1990Q00002940�9