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GENERAL45268
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GENERAL45268
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Entry Properties
Last modified
8/24/2016 8:14:14 PM
Creation date
11/23/2007 1:40:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981031
IBM Index Class Name
General Documents
Doc Date
3/19/1984
Doc Name
Letter on Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III I II I II I II IIII III _ ,~ ,__r ~ ~ ~ ~ _ ~ ~ ~ C - O 3 I - 8 I <br />INSURANCE COMPAiV1ES <br />HOME OFFICE-FORT SCOTT. KANSAS 88701 <br />Named Insured and Address Lirnhu lder <br />American Fuels, Inc. Colorado Mined Land Reclamation Division <br />Aguilar, 1313 Sherman Street Room 423 <br />Colorado 81020 Denver, Colorado 80202 <br />Dale ur This Notice Polley Type R Number <br />March 15, 1984 AC 1 03 69 57 <br />Gentlemen: <br />We have removed your name as licuholder ou the above policy (or the reason indicated below: <br />^ The insured has informed us that your lien has bccn satisfied. <br />thirt}~ <br />® Coverage under the policy has ceased. Your in wrest is protected for ?[JGXX7h days from the Harr of this notice it orber <br />insurance has not abeady bccn obtained. <br />^ The automobile described above has bccn eliminated from the pulley. Your in terrst is protected for tbirtern days from <br />the dare of this notice if other insurance bas not already been obtained. <br /> <br />If your interest has not been satisfied, we suggest that you contact the insured im metliatcly. <br />Sincerely, <br />® THE WESTERN CASUALTY ANU SURE'f\' COMPANY <br />^ THE 1VES'fERN FIRE INSURANCE COMPANY <br />^ THE WESTERN INDEMNITY COMPANY. INC. <br />1 r <br />Y1.4R 19 1984 <br />C91NED LAP:D RECLAhAAT10(+' DIVISION <br />Colo. Depi. of IVaiural Resources <br />FORM 1]68 R5 <br />
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