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SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 72 SsM 1s2143 <br />SUPPLEMENTAL DECLARATIONS: <br />A service fee of $ 7 • oo is charged for each installment when your premium is paid in <br />installments. The service fee is $ s . oo per withdrawal when you select an electronic <br />fund transfer payment plan. The service fee will be added to the premium amount <br />shown on your premium billing statement. <br />Form SS 00 45 12 06 <br />Process Date: 05/18/16 Policy Expiration Date: 05/18/17 <br />