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2017-10-27_GENERAL DOCUMENTS - C1992080
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2017-10-27_GENERAL DOCUMENTS - C1992080
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Last modified
11/15/2017 7:37:35 AM
Creation date
11/6/2017 8:03:55 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
General Documents
Doc Date
10/27/2017
Doc Name
Notice of Cancellation
From
Mid Continent Casualty Company
To
DRMS
Permit Index Doc Type
General Correspondence
Email Name
JRS
Media Type
D
Archive
No
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MID-CONTINENT CASUALTY COMPANY <br /> P.O.BOX 1409 TULSA,OK 74101-1409 <br /> COMMERCIAL AUTOMOBILE POLICY RECE'%*0D <br /> NOTICE OF CANCELLATION QC1 27 2017 <br /> tlldoll of aecuuw" <br /> POLICY NO. <br /> ITEM ONE <br /> NAMED INSURED AND MAILING ADDRESS AGENCY AND MAILING ADDRESS <br /> OAKRIDGE ENERGY INC 42-969 <br /> (SEE NAMED INSURED ENDORSEMENT) HIGGINBOTHAM INSURANCE AGENCY INC-NORTH <br /> 4613 JACKSBORO HWY 500 WEST 13TH STREET <br /> WICHITA FALLS,TX 76302 FORT WORTH,TX 76102 <br /> POLICY PERIOD: From 12/05/16 to 12/05/17 at 12:01 a m Standard Time at your Mailing Address shown above. <br /> The above indicated Company of Tulsa, Oklahoma hereby gives you written notice, in accordance with the Policy <br /> Conditions, of the cancellation of Commercial Automobile Policy No. <br /> issued to you. <br /> By virtue of this notice, as issued to you, the Policy is cancellgd and all liability of the above indicated Company, under <br /> said Policy, will cease at and from 12:01 a m Standard Time 11/27/17 <br /> CC: Home Office <br /> Agent <br /> METHOD: <br /> REASON: <br /> TOTAL RETURN PREMIUM: <br /> COUNTERSIGNED AT: TULSA,OK DATE: 10/23/17 BY: '� l <br /> Authorized Representative <br /> TCC <br /> MI 90 10(01 98) <br />
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