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STATE FARM <br />INSURANCE <br />J <br />Binder of Insurance <br />Pending issuance and delivery of a policy pursuant to the application of the <br />insured and to all the terms and conditions of the policy issued by the company <br />the <br />State Farm Mutual Automobile Insurance Company <br />Does hereby insure: GARY E JOHNSON <br />120 3RD ST <br />SEAL BCH, CA 90740-6007 <br />Policy Number: L35 8237-C03-75B <br />Year Make <br />2002 MERCEDES E430 4DR <br />Liability <br />1M/1M/1M <br />Vehicle Identification Number (VIN) <br />WDBJF70J52B408360 <br />Coverages <br />Comprehensive <br />$500 <br />Collision Ded <br />$1000 <br />Effective June O5, 2008, expiring not to exceed thirty (30) days hence <br />and to become void immediately upon the issuance of a policy in place hereof. <br />ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY <br />OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM <br />CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF <br />MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A <br />FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO <br />CRIMINAL AND CIVIL PENALTIES. <br />Date ~-J~ o~"d~, Q / <br />Authorized Representative <br />A5 ~~ FpR~ <br />RYYR~~D <br />~`gp E• SZ ARtorne`J <br />nt C~~Y \ <br />~S~sta~ k 3 J <br />`'7 <br />