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i 1 VP��(ln�'C�-� <br /> )J _ fit') _C II 1 [ p <br /> .. " _: <br /> AC ---...Co I} APR 13 2015 # .,iY _,, <br /> '" '�VIC"Yaw Choice" <br /> COMVERCIALACCOUNT INVOICE <br /> 113v y - .-..-- __ __ Account Number 3 X 7 6 5 2 4 <br /> Thank you for choosing EAI Insurance Con hies for your insurance needy Invoice Number B 55980049 <br /> d <br /> Invoice Date 04/08/15 <br /> i Date Due 04/28/15 <br /> Minimum Due 29 . 6 7 <br /> PLATTE RIVER RECOVERY <br /> IMPLEMENTATION FOUNDATION If you have questions about this invoice,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 /> Pay online...enxins.cars <br /> i—.a.'.f p -,5...mEhF..-..v.sZ ,4h^. f.€, dt A: ,, *R (�A <br /> A a.d { YR Y` :ti T,',10,-.--,. - 4 I 6 . y .A ,y f <br /> r K .4. ' y1, t'1 , ¢ S -= Xqi 3 ,c CL O VRx 43{� g A`/�'lL <br /> T 0 I ri: <br /> ' TRANS EFF DATE POLCY ; ,A0TION 1!? �4 5,� , EA,,,,,,,1/41 3 ,Y> .:r �� Nxl� < <br /> , <br /> �- <br /> Prior Balance . 00 <br /> 03/18/15 3D76524-15 POL CHANGE GEN LIAB - OC -49 . 00 <br /> 03/18/15 3D76524-15 POL CHANGE GEN LIAB - OC 74.00 <br /> 03/24/15 3X76524- CHECK ISSUE 49 . 00 <br /> 04/08/15 3X76524- INSTALLMENT FEE 5 . 00 <br /> 1 <br /> i 14 0 p is , <br /> — )e-A(.) <br /> To avoid an installment fee, pay the entire account balance shown below. <br /> 1. � <br /> `kA /:I cJ Jt o- t 4 20/5/o I (S i,,,. u <br /> PAY ONLINE AT_.1 S.Ct f CR DETACH AND REZURNBOTICMSECTioN wpm YQUR.-PAYMENT.....PAYABLE...TD..RC...INSU .CalEANIES.. <br /> /EMCInsurance Companies® <br /> CONIVERCIAL ACCOUNT INVOICE B 55980049 <br /> Account Number Due Date Amount Enclosed <br /> -PAYMENT REMINDER- , ' <br /> 3X76524 '.04/2'8/15.' 4.6° <br /> You may pay the minimum due,entire account balance or any Account Balance <br /> amount in between. By paying the Quarterly Payment Amount Muvmum Duo Quarterly Payment Amount <br /> you will save two installment fees and,if there are no 74 . 00 ' '29_167:' 79 . 00 <br /> additional premium changes to your account,your next bill will <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 /> 000068 uIIIiIIIIIrf 1IIIIIIIIIIIIIIIIIiIiiIIIIuliririIIIIIIIIItu111111iI <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 /> 00021415236765241 514832559800490000000740000000029678 <br />