2019-02-13_REVISION - M2000077 ‎(5)‎

• Permit No: M2000077
• IBM Index Class Name: REVISION
• Doc Date: 2/13/2019
• Doc Name: Request For Succession Of Operator
• From: PK Enterprises, Inc.
• To: DRMS
• Type & Sequence: SO1
• Email Name: ERR
• Email Name: BJC
• Email Name: MAC
• Media Type: D
• Archive: No

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Loss run report
RT Specialty,LLC-212335(Kansas City,MO)
PK ENTERPRISES INC.
MAROL Report date:1/23/2019
�Policy Effective date Expiration date Claim count Indemnity LAE Total',
Paid: $0 $0 $0
3EG1933-0 1/25/2017 6/10/2018 0 Reserved: $0 T $0 $0
Incurred: $0 $0 $0.
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