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<br />A'Uto Club <br /> <br />11/9/2007 11:46:09 AM <br /> <br />PAGE <br /> <br />4/005 <br /> <br />Fax Server <br /> <br />A <br />~ N <br />R N <br />U <br />M A <br />L <br />o <br />R P <br />V R <br />R e <br />M <br /> <br />POLICY NUMBeR: G 6131601 <br /> ,NVOice DATE LODGE FLA(l 8:-0P CN~ INS CONTROl. C~EDIT Nl<M8ER uNITS <br /> ITA" cooe <br /> 10-2'-07 10 2 999-010 ":1 <br />, VE" CA" y" SYM MOO 5VR GRP P MK US! X '"' COM- ANN ODOMETER 1 ANTI "'" CMPNAN DT~ER <br />NO GR' OD CODE DFIV MUTE MI THEFT BAGS CONY. <br />1 1 02 001 407 19 10 4 C X 1 11 I 20 1 2 <br />3 1 B 05 013 466 ~3 10 4 P X 1 05 a 2 I <br />veH 51 ~D MED COMP OAR FIRe AND ~9"" OR UO UMNIM VEH'REM SOUI\D vel 'RATe <br />NO ReNTA, THEFT ,UUM SUIl-TOT^" 2 , R 0 "EN <br />1 355 190 74 45 417 42 1123 <br />3 234 130 87 696 31 1178 A <br /> I <br />V"" "' '0 Meo COMP OA" ~II\!AN~, COL'Tu~ UC UMI1.JIM V'!!!I" FfIt!M "I\IV!ft (lOA (lDC <br />NO RENTA, THEFT cO,JU SUIl-TOT^" NO. <br />1 <br /> , <br />3 <br /> : <br /> , <br />POI.ICY EFF POL.ICY exp Y-T.O TOT^" AMENCMENT TOTALS <br />00 ",",v '" "0 ",",Y '" PH=MIUM '" UNEAANEC TOTAL. TOTAL. POL-ICY NET TOTA, <br /> ADD RETURN DMDEN~ <br />10 ,25 07 10 4 08 22B7 0.9425 2170 1910 0 S260 <br /> <br />A <br />A N <br />o N <br />D U <br />L A <br />L <br />D <br />R ~ <br />V 'l <br />R 5 <br />M <br /> <br />. <br />