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EMC Insur ncp Companies. <br />Thank <br />Insurance Corrpanies for your insurance r1 <br />PLATTE RIVER RECOVERY <br />IMPLEMENTATION FOUNDATION <br />,. PO BOX 83107 <br />LINCOLN NE 68501 -3107 <br />Pay online ... e17r03urar0e.mm <br />2 -112:4 <br />(070109cc) <br />!• ITI ITI 2'-! !!• • ! <br />Account Number <br />3X7 6 5 2 4 <br />Invoice Number <br />B 96820004 <br />Invoice Date <br />.07/01/09 <br />Date Due <br />07/15/09 <br />Minimum Due <br />70.00 <br />If you have questions about this invoice, or <br />if you have coverage questions or policy <br />changes, please contact your agent. <br />INSPRO, INC <br />402 - 483 -4500 <br />06/01/09 3D76524 -09 <br />07/01/09 3X76524- <br />Prior Balance <br />POL CHANGE <br />LATE FEE <br />ACCOUNT BALANCE <br />GEN LIAB <br />50.00 <br />22.00 <br />20. 0 <br />92.00 <br />Pkase <br />pa--J <br />0i t. <br />ey fm� at=o, 15-C113r. <br />PLEASE DETACH AND RETURN THIS SECTION WITH YOUR PAYMENT, PAYABLE TO EMC INSURANCE COMPANIES. THANK YOU. <br />® EMC Insurance Companies <br />CONVU aALA00OU vrlWaCE <br />- IMTORTANT - <br />Your account is past due. In order to keep your insurance <br />coverage in force, you must pay at least the minimum due by the <br />due date shown on this invoice. Payment of less than the <br />minimum due will not reinstate this account. <br />The direct notice of cancellation documents that are included <br />with this invoice are printed on both sides of the paper. <br />PLATTE RIVER RECOVERY <br />IMPLEMENTATION FOUNDATION <br />PO BOX 83107 <br />LINCOLN NE 68501 -3107 <br />Account Numbez <br />ATITMIT <br />a <br />Amount Enclosed <br />• <br />F, L G F� Y 1M a 3 <br />• <br />Account ance <br />a t � }� <br />Q <br />Pay Ahead and Save Fees <br />soffifflaimm, <br />Please allow 5 days for payment to reach our office. <br />I,II».L, its, IL�ItitttlllrLt�rl�I��LLIJrIrrLl <br />EMC INSURANCE COMPANIES <br />PO BOX 219225 <br />KANSAS CITY MO 64121 -9225 <br />00021,415236765240 91 9632968200040000000920000000070004 <br />