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k4AU COU6TRY INSURANCE COMPANY e I' <br />7333 SUNWOOD DRIVE NW � 1 - o RAMSEY, MN 55303 -5119 NAU COUNTRY <br />(763)427 -3770 <br />Premium Statement 10/01/2012 <br />25625 1 AB 0.374 <br />». ""` ".W-- **AUTO"*ALL FOR AADC 680105 <br />PLATTE RIVER RECOVERY IMPLEMENTATION <br />FOUNDATION <br />PO BOX 83107 <br />LINCOLN NE 68501 -3107 <br />atement # 73986029 <br />Account# 46067861 <br />Paqe 1 of 3 <br />Account Balance $ 617.00 <br />Current Due $ 617.00 L <br />Amount due if postmark after 10/31/12 $632.42* <br />Detailed policy information is provided on <br />the reverse side. The "Current Due" shown <br />is what is owed at this time. <br />Insurance Premium Fees Interest* Other Total Current Loss <br />Charge's** Charges Payments Credit Balance <br />MPCI 587.00 30.00 617.00 - 617.00 <br />HAIL/FIRE - _ <br />NAMED PERIL _ <br />LIVESTOCK <br />OCT 2 2012 I� <br />Subsidy Provided by FCIC <br />MPCI A &O Subsidy $313 Livestock A&O Subsidy $0 <br />MPCI Risk Subsidy $844 Livestock Risk Subsidy $0 <br />MPCI Gross Premium $1,431 Livestock Gross Premium so <br />The Account Balance and Current Due include any applicable subsidies. <br />The A &O amount may increase by 1.15 percent of net book premium (except for <br />group plans of insurance) if the loss ratio in the state exceeds 1.20. However, the <br />amount of premium the producer must pay will not be changed. <br />*Monthly interest charges of 1.25% per month (15% APR) will be charged on unpaid fees and premium balances not paid <br />within 30 days following the billing date on the amounts listed above, regardless if the account has a pending claim. For <br />crops with an 08 -15 -2012 Billing bate interest will begin attaching on 11 -01 -2012 and will be calculated from 09 -01 -2012. <br />**Other charges includes overpaid losses, premium taxes if applicable and miscellaneous account fees; such as NSF charges. <br />Thank you for doing business with NAU Country Insurance Comaanv <br />Statement Date 10/01/2012 <br />Current Due $617,00 <br />Amount Enclosed $ <br />Amount due if postmark after 10/31/12 $632.42* <br />Please Remit Payment To: <br />phNAU COUNTRY. <br />Statement # 73986029 <br />Account # 46067861 <br />PLATTE RIVER RECOVERY <br />IMPLEMENTATION FOUNDATION <br />PO BOX 83107 <br />LINCOLN, NE 68501 <br />NAU COUNTRY INSURANCE COMPANY <br />PO BOX 860057 <br />MINNEAPOLIS, MN 55486 -0057 <br />III "1'ii�Pliiil' 111' Ilil 11' ll' Iillllii 'll "I'I'I1�'II11'III'I11 <br />00739860295 00460678610 0000061700 0 <br />