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GENERAL43842
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GENERAL43842
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Entry Properties
Last modified
8/24/2016 8:12:39 PM
Creation date
11/23/2007 12:39:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981015
IBM Index Class Name
General Documents
Doc Date
2/22/1994
Doc Name
NOTICE OF CANCELLATION OR NONRENEWAL
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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NOTICE OF CANCELLATION OR NONRENEWAL <br />I.COMMERCIBO. GENERAL LIABILITY <br />KING OF POLICY <br />COPY OF NOTICE SENT TO NAMED INSURED <br />POLICY N0. ISSUED iHa OUCH AGENCY OP OFFICE AT: CANCELLATION De TEPMINATION WILL TAKE EFF ECi AT: DATE OF NOTICE <br />GL770-$707RA AOUSTON, TERAS ~71~ <br />5/30/94 Ho12a01ryA.M.Mr 2/17/94 <br />INSURANCP <br />COMPANY <br />NAME AND <br />ADDRESS <br />OF INSURED <br />CANCE4 <br />CATION <br />NON <br />RENEWAL <br />T l.~\~ ~ III I II I II I II IIII III <br />AMERICAN INTERNATIONAL SPECIALTY LINES INSURANCE COMPANY <br />~.. .. <br />FEB 22 1994 <br />TERAS OIL 6 CZ~ffCAL COMPANY II, INC. <br />P.O. BOR 1636 .. Dif-iron et rmne,~;~ ,w , <br />SIL9BEE, T% 40656 L,,` <br />yy <br />aPPucame nem maraeo Dgl <br />You are hereby notified in accordance with the terms and conditions of the above mentioned policy that your insurance will cease at and from the hour <br />and date mentioned above. <br />If the prgmium has been paid, premium adjustment will be made as soon as practicable after cancellation becomes effective. <br />If the prgmium has not been paid, a bell for the premium earned to the time of cancellation will he forwarded in due course. <br />You are hereby notified in accordance with the terms and conditions of the above mentioned policy that your insurance will cease at and from the hour <br />and date mentioned above due to nonpayment of Dremium. <br />A bill for the premium earned to the lime of cancellation will be forwarded in due course. <br />IMPORTANT ~ In compliance with the Fair Credit Reporting Act (Public Law 91508), you are hereby informed that the action taken above is being taken wholly or partly <br />NOTICE because df information contained in a consumer report Trom the following consumer reporting agency: <br />TO LIENHOLOEA: <br />You are hereby notHied that the agreement under the Loss Payable Clause payable to you as Lienholtler, which is a part of the above policy, issued to the above <br />insured, is hereby cancelled (or terminated) in accordance with the conditions of the policy, said cancellation for termination) to be effective on and after the hour <br />and date mentioned above. <br />K ~ <br />' thorieeE Keprese alive <br />INSURANCE • Ai•~RICAN INTERNATIONAL SPECIPI.TY LINES INSURANCE CO`L°ANY <br />COMPANY <br />I-7~3- 26~ -gdoo <br />NAME AND COLORADO %•.INED LAND RECLAMATION DIVISION <br />ADDRESS 1313 S}~ERPLA,'V ST. , 2ND FLOO:t <br />OF LIEN- DENvEP., CO 130203 <br />HOLDER <br />*yw,:va.wh.~ <br />CU BBI ID (Ed. J-13) ,~,~ • ~ © i993 <br />'^~F' LIENHOLOER'S COPY <br />gE~Ef.,_.-, <br />
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