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• E C. <br /> EMC"Your Choice" <br /> IP• •AL ACCOUNT INVOICE <br /> Account Number 3X76524 <br /> Thank you for choosing BV,C Insurance dies for_liar insurance n Invoice Number B 47190100 <br /> Invoice Date 08/07/14 <br /> Date Due 08/28/14 <br /> Minimum Due 23 . 82 <br /> PLATTE RIVER RECOVERY <br /> IMPLEMENTATION FOUNDATION If you have questions about this invoice,or <br /> PO BOX 83107 <br /> if you have coverage questions or policy <br /> LINCOLN NE 68501-3107 changes,please contact your agent. <br /> INS PRO, INC <br /> 402-483-4500 <br /> Pay online...em ins.ccvn <br /> `=TRANSACTION SUMIVI_ARY <br /> -_TRANS EFF DATE POLICY_. TRANSACTION COVERAGE AMOUNT• <br /> Prior Balance 2, 835 .00 <br /> 07/28/14 3D76524-15 POL CHANGE GEN LIAB - OC 207 . 00 <br /> 07/21/14 3X76524- INSTALL FEE -5 . 00 <br /> 07/21/14 3X76524- CASH PYMT -2, 830 . 00 <br /> 08/07/14 3X76524- INSTALLMENT FEE <br /> iS L '7 pfi <br /> cap.. ° r t ,= <br /> cy..) 4101A`3 <br /> P , 4-) <br /> To avoid an installment fee, pay the entire account balance shown below. <br /> PAY ONISNE AT ENDINS.CICM OR DETACH ADD RETiksT BOTSCM SECTION WITH /CUR PAYMENT, PAVARTF. TO MC INSURANCE C>ZNIPAD7IES. <br /> /EMC Insurance Companies® <br /> COMVERCIAL ACCOUNT INVOICE B 47190100 <br /> Account Number Due Date Amount Enclosed <br /> -PAYMENT REMINDER- <br /> 3X76524 -- :.08/28/14 <br /> You may pay the minimum due,entire account balance or any <br /> amount in between. By paying the Quarterly Payment Amount Account Balance Minimum Due Quarterly Payment Amount <br /> you will save two installment fees and,if there are no S, 207 . 00 2 3 . 8 2 61 .45 <br /> additional premium changes to your account,your next billb gill <br /> be due in 3 months. Refer to the back of this invoice for <br /> more billing information. Please allow 5 days for payment to reach our office. <br /> 000132 '111'1Ilillll'll111111lhllllllllllll11111'nlllllll1llnlllllll1 <br /> PLATTE RIVER RECOVERY <br /> IMPLEMENTATION FOUNDATION <br /> PO BOX 83107 EMC INSURANCE COMPANIES <br /> LINCOLN NE 68501-3107 PO BOX 219225 <br /> KANSAS CITY MO 64121-9225 <br /> 00021415236765241427232471901000000002070000000023828 <br />