NOTICE OF LAPSE OF COVERAGEHOMEOWNERS CHOICE
PROPERTY & CASUALTY
INSURANCE COMPANY, INC.
PO Box 23177, Tampa, FL 33623
CITY OF CLEARWATER ISAOA
PO BOX 4748
CLEARWATER, FL 33758
Policy Number: HCPC -H03- 247514 -7
RECEIVED
AUG 1 1 2016
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEPT
NOTICE OF LAPSE IN COVERAGE
This notice confirms that the policy identified above was cancelled for non - payment of premium. Coverage
ended at 12:01 AM ET on the date indicated. We urge you to call your agent to secure coverage.
Lapse in Coverage Effective 7/6/2016 12:01 AM
Loan No:
Property Location:
Please contact your agent below if you have any
questions:
1615 N WASHINGTON AVE
Policyholder:
CLEARWATER, FL 33755
KAREN REYES
DORETHA CARSON LEVERSON
BOUCHARD INSURANCE
PO BOX 6090
CLEARWATER, FL 33758
Tel (727) 447 -6481
HC CXLP 06 13
Aug 08, 2016 02:31AM