NOTICE OF CANCELLATION (13)PLATTE RIVER INSURANCE COMPANY
Mailing Address: P.O. Box 5900 Madison WI 53705-0900
NOTICE OF CANCELLATION
Obligee:
City of Clearwater, Florida
112 S. Osceola Avenue
Clearwater, FL 337.56
Re: BOND NUMBER 41241114
TYPE OF BOND: Utility Deposit/Cancellable
BOND AMOUNT $1,000.00
Principal:
Souperman TB LLC DBA Dominos Pizza
7202 Massachusetts Avenue
New Port Richey, FL 34653
GENTLEMEN:
December 14, 2015
The above bonding Company hereby notifies you that it has elected to cancel said bond in its entirety.
This Notice is given to you in accordance with the cancellation provision in the above mentioned bond
and applicable state insurance statutes.
Cancellation Reason: SURETY COMPANY REQUEST.
Effective Date of Cancellation is 03/01/2016
By:C c orula,&v
Attorney -in -Fact
Certified. Mail Number: 9171 9690 0935 0098 9863 44
For inquiries please contact:
CAPSPECIALTY
500 Northridge Road, Suite 375
Atlanta, GA 30350
Phone 866 -509 -7322 Fax 678- 528 -6638
Bond # 41241 114 Customer #
Obligee Copy
Prod. 9119 Br. 16 TCIT. 61
CANN1ANUl.DOC Rcv. 5/99