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<br />. I <br />. <br /> I <br /> Ie <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> Ie <br /> I <br /> I <br /> I <br /> II <br /> , <br /> I <br /> I <br /> I. <br /> I <br /> I <br /> <br />J J I, ~Sl'IMhT~D FIJJODWATE!l- MIlAGE. LOSSES <br /> <br />ft"td~nce Pldg" fQ~ndat1Qn, w~11s, tloors, <br />"j.rj.n~, !;tte, <br /> <br />Ro@ldonQ~ Cqntont@1 furnllur~, heu.ehqld <br />oq~lpment ~nd .ppliances, <br />CRr~, ~nd other personal <br />bOIl>nglnge, <br /> <br />Re@td~~~ JAt I~prov~mentsr lawP~t trees, <br />fetn(Jes, ~t<<;:, <br /> <br />oth~r ~gB~BJ el~RntnJ ~p, C9st of emergency <br />m@a~"r~B, pvacu~t~onf etc. <br /> <br />'roTAL <br /> <br />16 <br /> <br />= <br /> <br />.. <br /> <br />Repair or Replacement Cost <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />T <br />