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2001-01-23_REPORT - M1985140 (2)
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2001-01-23_REPORT - M1985140 (2)
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Last modified
4/3/2021 2:27:26 PM
Creation date
11/26/2007 10:43:58 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985140
IBM Index Class Name
Report
Doc Date
1/23/2001
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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X United States Fire Insurancepany ���� <br /> The North River Insurance C any <br /> Crum,;r�-Forster <br /> �,..+'...�EARNWCi YOUR TFUS) <br /> CONTINUATION/VERIFICATION CERTIFICATE <br /> THE NORTH RIVER INSURANCE COMPANY (hereinafter called the <br /> hereby certifies continuance of coverage for: <br /> Bond No. 610 153179 3 <br /> in the sum of FIVE THOUSAND AND NO/100 DOLLARS ($5,000.00) <br /> on behalf of DAVID GOSS <br /> in favor of STATE OF COLORADO <br /> for the term beginning DECEMBER 20, 1999 <br /> and ending on the DECEMBER 20, 2000 subject, however, to all the covenants and <br /> conditions of said bond. <br /> This Continuation/Verification Certificate is executed upon the express condition that the Company's liability <br /> under said Bond and this and all such certificates shall not be cumulative and shall in no event exceed the sum <br /> of $5,000.00. <br /> IN WITNESS WHEREOF, the Company has caused this instrument to be signed by its officers proper for <br /> the purpose and its corporate seal to be hereto affixed this 11TH day of OCTOBER, 1999, <br /> THE NORTH RIVER INSURANCE COMPANY <br /> Byl_� <br /> Deborah A. 1ivey, Attorney-in-Fact <br /> FM.203.0.114A <br />
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