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02/03/2005 14:34 7145714209 PARKS ANT) RECREATION '.PAGE"'0G <br />Ulfll/CUUV 14 Vf tAm OV1464JDV% 84UVnU Indunmi VL JYUV <br />�x RENEWAL CERTIFICATE erlisisew—. <br />J 7� 3COTT&DALE INSURANCE COMPANY* <br />W?l Nenh Gary Cenler pdve, Scdbdele , Anson <br />a6265 <br />A STOCK COMPANY <br />111111 T, Nalmed ln.VA tl WW 104II1M Address: <br />NI M7 D. WRIVE 11A, TZ1Y I'M nuaImeL <br />1704 ■. a Uff <br />SARI AID, CA 02704 <br />Ahemt NinN II00 A011rose' -_ <br />Camb:idd4 01"ata1 Agahoy <br />1o0 Vine Strost Suits 230 <br />CLa eef e777 1C-1 <br />Polloy Number <br />San 7raneieeo, Ca 94111 AoanlNo: 04010/tlDLr► „ <br />Item 2. Pdk.V PIFK M4rpaL Prom: if4e-f4 To: if df•06_ <br />12-01 A.M. tttirreal TINe et 1N edeleivi of Rho NAM®14iURW ee slated horoln, <br />In mnptl4MWn Of me tenelsel pwnlYm SYhtl, the a00W nuamMed psli0y N renewe4 Mlhe peltod apedfte4 Mlt>)4C1 b the <br />bolt <br />and eondklom then . syAmpt as othomin sawfed hereln. <br />INSPECTION Pat <br />= 240a.pa '1 4 9E.91 sTATOTAXAND STAMPINAFIE <br />{ 3.6SS.05 70TA1.P0L4YPREMIUM <br />I i No prniies from previous born. <br />�K. I nqp on ena0rwment eeiew e1e ePpiudM WNn eesw n"W" <br />AIOR l C1J-E>7•i (7-92) <br />A MIZI. Cs 2429 (07/04) <br />un-i Isa) <br />CountersiCned i.i)..OA t.abCNaMO►/eb <br />DATE <br />By <br />cauAelllgnsture <br />2 5% 11MVIKIW <br />imarned Premium <br />NO FLAT CANCELLATION <br />6CNCIt& AOENrl COPY <br />