TERMINATION NOTICE
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FIREMAN'S FUND
INSURANCE aIMPANIES
.,
n E(
I
DATE ],],/:1,2/85
OF CLEARWATER
HALL
. BOX 4748
RWATER, FL 3351.8
NOV
-.J CITY
NOTICE OF THE TERM INA TlONOF--!!\!S-U-RANCE
NAME OF INSURED KIND OF POLICY AND NUMBER POLl
Y INC. & HUBERT L. PIPPIN INDIV.
. BOX 6650 2-1.5-fo1XX-8001 68 72
weRTH, FL 33461.
"FECTlVE IN STATE OF YOU ARE HEREBY NOTIFIED THAT THE ABOVE DESCRIBED
POLICY WILL TERMINATE AS OF 12:01 A, M, ON [
BY
IDA :L2/1.4/85 [
REASON FOR CANCELATION
ANY REQUEST
nON OF ACKNOWLEDGMENT OF THE RECEIPT OF THIS NOTICE ON THE DUPLICATE COpy IF ENCLOi
0:
rND INSURANCE COMPANY 0 THE AMERICAN INSURANCE COMPANY 0 NATIONAL SURf
,OCIATED INDEMNITY CORPORATION 0 AMERICAN AUTOMOBILE INSURANC
~~
~
I. BOX 1.8025
'A, FL 33679
AUTHORIZED AEPRESEN
)U THIS NOTICE IN ACCORDANCE WITH AND BECAUSE OF THE PROVISIONS OF THE S