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INSPRO <br />INSURANCE <br />EMPLOYEE OWNED <br />Platte River <br />Foundation <br />P. O. Box 83 <br />Lincoln, NE <br />Named Insured: Platte <br />P.O. Box 6847 <br />Lincoln, NE 68506 <br />(402) 483 -4500 <br />-=-- - - - - -- I N V O I C E---- - - - - -- <br />Wahoo, NE 68066 West Point, NE 68788 <br />(402) 443 -3742 (402) 372 -2139 <br />Columbus, NE 68602 <br />(402) 564 -2771 <br />Fremont, NE 68025 Omaha, NE 68154 <br />(402) 721 -9707 (402) 333 -5700 <br />Recovery Implementation Invoice Date 06/02/09 <br />Invoice No, 533249 <br />107 Bill -To Code PLATT21 <br />68501 -3107 Client Code PLATT21 <br />Inv Order No. 1 * 3 7 6141 <br />River Recovery Implementation <br />Amount Remitted: $ <br />Please return this portion with your payment. <br />Make checks payable to: INSPRO, Inc. <br />Effective Date Policy Period G ov;e r ag.e Des c,r: t,p t i on ransac ion' moun <br />07/28/09 07/28/09 Chubb Group of Insurance Companies <br />to Policy No. 82104967 <br />07/28/10 *Renewal - Directors & Officers 1,497.00 <br />nvoice Number: 533249 Amount Due <br />.?r-Rt.Trbyw - -(Wt on <br />itiUu �c <br />-fur y f. q �3ajaq <br />1,497.00 <br />ol( p #I-M <br />P�'R -t F �`edu�i act' <br />i';L T109I° 9 <br />`.* Premiums Oire ant Payable on.EfectiveSDate <br />SLN Page: 1 ORIGINAL INVOICE <br />