Laserfiche WebLink
Jun 06 03 09:47a State Farm Ins. <br />(8051--981-8348 P. 2 <br />r%\ <br />'Y'.IIpA VI <br />```--y JUNE. 06, 2003 <br />AUTO POLICY STATUS <br />H PHONE: (805) 382-4062 <br />ANDFRSON,SCOTP AND DONE, I.TSA MUTL C45 0377-B02-5511 1RG: 14 <br />1121 WINDWARD WAY ZIP: 93035 <br />OXNARD CA 93035-2459 1992 ISUZU RODEO CLASS: 6B3HCV11 <br />SPORT WG ACC FREE: AUG -02-89 <br />VIN: 4S2CY5822N4311729 BIRTH: OCT -20-51 <br />STATUS:PAID DUE DATE: TERM DATE: TOT .PREM: 324.78 <br />AMT DUE: 0.00 OXD:AUC-02-89 COV DATF.:FF.8-02-02 PRFV PRFM: 267.15 <br />A 50 /100 /50 163.82 U 5D /100 27.95 <br />D 24.7.9 U1 1.66 <br />G250 92.50 <br />H 3.84 <br />R1 16 /400 1.0.72 <br />AMT PAID: 324.78 DATE PATD: JAN -31-03 <br />GRP 03/31/97, CDR HR 319.60, MCD 70.64, LD 6 19.72, <br />CGDD 81.21, ODM 113500 03-97. <br />NAME: ANDERSON,SCOTT AND DONE, LISA <br />REPLACED POLICY: C450377-55 <br />EXCEP. & FIND: <br />DRVR DT OF LIC RL NXT RL -DT <br />LISA 10/20/1967 SR <br />REC CHG: <br />COV. S & Z NAMES S AMT 2 <br />H PHONE: (805) 382-•4062 <br />POLICY FORM: 9805A <br />ACC/CONV DIVrE INFORMATION <br />A 01/26/93 <br />MA1�,11M <br />SAFOWORM41XAOW <br />1256WodQw%"ftW ,• <br />�.....rc� �. CA Sam <br />APPROVED AS TO FORM <br />Lai a Sheedy <br />Deputy City Attorn€y <br />