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Jun ~17 03 10~33~ STATE FRRH IHS <br /> <br />AKELEY, THOMAS <br />1255 19TH ST <br />HERMOSA BEACH CA <br /> <br />STATUS:PAID <br />AMT DUE: <br /> <br />A <br />C5000 <br /> DS0 <br />G250 <br /> <br /> 0.00 <br /> <br />/~ / <br /> <br /> AUTO POLICY STATUS <br /> MUTL 03~ 6102-F05-75A <br /> 2000 BMW 323I <br />90254-3309 <br /> YIN: W]IAAR3346YJM01525 <br /> <br /> DUE DATE: T]:P,M DATE: <br /> OXD:O~JN-05-01 iOV DATE:DEC~0$-01 <br /> <br /> 301.36 R1 80% '500 <br /> 37.76 U 100 '300 <br /> 66.40 <br /> 190.80 <br /> <br />2.40 <br /> <br />/ <br /> BMT PAID: 639.50 DATE PAID: <br />CDR 1 491.40, MCD 124.37, CGDD 159.Bg~ <br />VS.D 40% 11.84, ODM 12000 06-03, MLD 68,! <br /> <br />NAME: LAR$ON,L~NDA K & <br /> <br />REPLACED POLICY: 0376102-75 <br /> <br />EXCel. & END; ADD'L IB~gED - T~E CITI <br /> AGENTS, AND VOLUNTEERS 20 CIVIC CENTER <br />DRVR DT OF LIC ~L NXT RL-DT <br />L~NDA 07/28/1970 1 SR-06/05/2004 <br /> <br />NAMES <br /> <br />s AM'~ z <br /> <br />JUN-06-O3 <br /> <br />310379~43S <br /> <br />JUNE 17, 2003 <br /> <br /> SANTA ANA ITS OFFICERS, EMPLOYEES, <br /> F~ASA ~ANTA ANA CA 92701. <br />2C/COXV DATE INFORMATION <br /> <br />16.80 <br />42.22 <br /> 1.16 <br /> <br /> ~OT PREM: 639.50 <br />PREV PREM: <br /> <br />H PHONE: (310) 372-1538 <br />POLICY FORM: 98~5A <br /> <br />{3t. 0) 3'72-1538 <br />IRG: 20 <br />ZIP: 90254 <br />CLASS: 6830Al12 <br /> ACC FREE: JUN~0$~01 <br /> BIRTH: JUL-28~54 <br /> <br /> <br />