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Jul <br /> <br />08 ~3 12:59p GeorGe Bullock <br />State I=arn~ Mutual Auto~tobile Insurance ~ompanY <br />/Vo$130S ~ra Road <br /> ~ke ~Jll~e CA 91~3 <br /> ~ 7~863~-1 U <br /> <br />REBE(CA SAUCEDA <br />157 T~L~ ST AP <br /> <br />N~E~ INSURED: ~L) COAST APPRAISALS INC <br /> <br /> 562-B51-1068 <br /> <br />J*COPY* DI~CLARATIONS I~AGE *colw <br /> <br />POLICY NUI~BER 81 2431-F-.~8-75 ~ <br /> <br />POLICY PERIOD MAY 28 2003 to NOV 28 200 <br /> <br /> AGENT <br /> DREW MARTIN <br /> 11119 SAI~TA GERTRUDES AVENUE <br /> WHITFIER, CA 90604-3350 '- <br /> <br /> DO WOT PAY PREMIUI~S SHOWN ON THI~ PAGE. PHONE: ((D62)943-4343 or (462)943-932:) <br /> SEPAI~ATE ?)TATEMENT ~.NCLOSED IF AMOUNT DUE. <br /> <br /> c. <br />1997 TdYOTA CAMRY 4DR JT2BG22K4V0088050 ' 6H00A110 <br /> <br /> · .' ' ,,, m .... .-~' -' ' '~"' " ' "· ' ' ' ' ~--,'" ! ~' ~ ' ' ' " ..... <br /> 1997 <br /> i See policy for c~vera_qe details. TOYOTA <br /> <br /> ~ [ Limi~ of Liabil~-~verage A-~dily lniu~ <br /> <br /> ~ Each A~ent <br /> D500 ~ $500 Deductible ~m~rehensive $49.95 <br /> H ~ Emergency ~ad ~e $2.88 <br /> Lim~ of Liabili~ - Car Rental E~n~ <br /> <br /> ~ $50 $~o0 . , <br /> <br /> ~Es of Mabil~-U <br /> <br />~-~::~ ~'~"%~ ~:~ ~ *~,-::~ $10~000 $300 000 <br /> <br /> our ~licy ~ns~s of this declarations page, the ~licy ~ok et - fo~ 9805A, and ~y endomements that apply, including <br /> o~ issued to yoH wi~ any su~equent renewal notioe. <br /> <br /> , . , , . ....... ~ .......... ~. ~..?~ ,,;.,~,~ - . ......... ,, ...:.,,,,,:,~ ~ , % ,~ s,.~ ,~,,~ ..... ,~&~,,. ~,;~,"a',,,= - ~,,,; . <br /> <br />602~U ADDIT[0NAL INSURED-REBECCA SAUCEDA, 15746 TETLEY ST APT~14, HACIENDA <br />HGTS CA 91745+4574. <br />6030S BUSINESS N~ED INSURED ENDORS~ENT <br />6893PP AMENDMENT 0F CAR RENTAL AND TRAVEL'EXPENSES C0VE~GES <br />6905A AMENDMENT 0F DEF[NED WORDS. LIABILITY. MEDICAL PAYMENiS, <br /> UNINSURED MOTOR VEHICLE AND PHYSICAL DA~GE COVERAGES. <br />Named Insure- GOLD COAST APPRAISALS INC 11506 TELEG~PH RD STE 214 SANTA FE SPGS CA <br />90670-3100 <br /> <br />FORM <br /> <br />Agent: DREW MARTIN ..... .., ... <br /> <br /> <br />