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DA MiC "Your Choice" <br />C OMMB 1AL ACCOUNT INVOICE <br />Account Number 3X 7 6 5 2 4 <br />Thank you fa' d Laos ng EV C Ihstrarx� Qxrparyes fcr yocr inscmm taeds Invoice Number B 96590072 <br />Invoice Date 06/08/09 <br />Date Due 06/28/09 <br />Minimum Due 50.00 <br />PLATTE RIVER RECOVERY <br />IMPLEI\IENTAT I ON FOUNDATION If You have questions about this imroice. or <br />PO BOX 83107 if you have coverage questions or policy <br />LINCOLN NE 68501-3107 changes, please contact your agent. <br />iNSPRO, INC <br />402 -483 -4500 <br />Payodine... em inscrance.ccm <br />Prior Balance <br />06/01/09 3D76524 -09 POL-CHANGE GEN LIAB 45.00 <br />06/08/09 3X76524— INSTALLMENT FEE 5.00 <br />ACCOUNT BALANCE 50.00 <br />r-- <br />��It�o9 <br />To avoid an installment fee, please pay the entire account balance <br />shown below or the fee will be added to your account. <br />PLEASE DETACH AND RETURN THIS SECTION WITH YOUR PAYMENT, PAYABLE TO EMC INSURANCE COMPANIES. THANK YOU. <br />AWEMCInsurance Companies <br />GO(MERC(AL AaCO1NT INVOICE <br />- PAYhIENT RENIINDER - <br />You may pay the minimum due, entire account balance or any <br />amount in between. By paying the Pay Ahead and Save Fees <br />amount, you will save the Installment fee and, if there are no <br />additional premium changes to your account your next bill w411 <br />be due in 3 months. Refer to the back of this invoice for <br />more billing information. <br />000060 <br />PLATTE RIVER RECOVERY <br />IMPLEMENTATION FOUNDATION <br />PO BOX 83107 <br />LINCOLN NE 68501 -3107 <br />B 96590072 <br />Account N umber <br />Amount Enclosed <br />Account Balance <br />" itii[35ue <' ?s > >_ <br />Pay Abead and SaueFees <br />45.0 0 <br />{{.�� <br />� > >�:= <;; <br />0 0 <br />Please allow 5 days for payment to reach our office. <br />t, Ilt��l�, lw t�[ Itt1. [�,�Ill ►L�t,lt[t,ltl,itlt[�t[tl <br />EMC INSURANCE COMPANIES <br />PO BOX 219225 <br />KANSAS CITY MO 64121 -9225 <br />0002141520676524091925296S90072000000050000000005D000 <br />