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4-30-199G 2.30PM FROM FROST MCGAHEY INS. 970 453 5935 P. 1 <br /> APR.25.1996 4:17PM MAIL BOXES 2314 NO.5?5 P.3 <br /> STATE OF COLORADO <br /> Roy Romer, Goves►»or <br /> DEPARTMENT OF NATURAL RESOURCES <br /> OIVISYOIV OF WILDLIFE <br /> AR [DUAL OCCO U NI m awtom <br /> ma V. ammm. Ifiromw <br /> roodmW <br /> mom. apiwab Sam <br /> TeLakffl : am 2 -""2 <br /> STA'Pl�It, OF I OUPAM CLLM <br /> rM underaigned hereby warrants that as of the below dates <br /> 1. No claims have boom placed against GWMk=d Liability =aaysaace <br /> Policy #r <br /> Carried by Unaurence C=MVW ►): <br /> or <br /> claims have bees plaeea against, <br /> cereal ZdAbility Iaavranae policy as <br /> Date: <br /> Type of Coverage: <br /> Carried by (lasurance caap any) <br /> - <br /> a. No claims leave been placed against Automobile Liabilxty Insurance <br /> Policy 0: <br /> Carried by (ramura=o cmww y)e <br /> OW <br /> Claims hm m been Visaed agaiaat bntamobile zd ability Tasaranee <br /> Policy #: <br /> Date: <br /> Type of Coverage z <br /> curried by (2necm=e campmmy): <br /> 3. There is no knowledge of fa to Mkich =LY laud tc a claim. <br /> or <br /> TAeze is knowledge of facts which May lead to a claim against <br /> Policy #s <br /> Type of Coverage: <br /> Carried by-(1=urance Cody) z <br /> For <br /> Lime pw of claim) <br /> ama�mt of; S FROST MCGAHEY INSURANCE INC: <br /> For (type of clam BOX 8410 <br /> I/ -BRECKENRIDGE. CO aoaa� <br /> oa p z'm Insur6►na+e <br /> By: <br /> VredAent, Owner or Partner Aa uqp"sentazzve <br /> Attest (SSAL) l' p "T✓ -�" 44 1 - i <br /> Pboae= <br /> Sys <br /> amaze secretary � 30 aCQ <br />