HomeMy WebLinkAboutRNJ TRUCKING ROY EDWARDS - INSURANCE CERTIFICATEBLUFFS INS AGCY INC
PO BOX 579
PINE BLUFFS, WY 82082
ROY EDWARDS
R&J TRUCKING
1950 E DOUGLAS RD
FT COLLINS, CO 80524
rivo*
i xwxxxcx rxora gpppq�p/{{
Policy number: 03658817-0
Underwritten by.
United Financial Casualty Company
November 13, 2006
Page 1 of 1
Your policy was canceled
:.uT a.m.
We were required by law to continue coverage until the date of cancellation. You still owe Drive
Insurance for the coverage provided. Please pay this amount by the due date so we can avoid referral
to a collection agency. This payment will not reinstate your policy. A summary of your billing detail
follows.
If you have questions about this cancellation, please call Customer Service at 800-444-4487.
_ ............................... ............... ... ... _........ ................. ..I ..... , ..
Policy premium for coverage until November 3, 2006 $3,341.00
..........................._......_.._............_............_............_._........... _.......,.
Installment fees 10.00
Late fees 10.00
Otherfees 75.00
_......................_.................... ,.... _.........,_._......... ,...... ....,,.....
Total policy premium and fees $3,436.00
....._.... ............ ......._..........._............
...... _ _.
Total amount paid-3,011.80
It is important that you obtain insurance as soon as possible. To purchase a new Drive
Insurance policy or to see if you are eligible for commercial auto insurance, please call your agent at
307-245-3270.
........................................
Payment Coupon
_......... _. _.........._.............................................1 _.. _.,...,
Total amount due $424.20
......_............................._ _ .......
Due date December 3, 2006
................................................................................................
Amount enclosed $
............ ....... ......... ....... _................. .... _... ..... ....
DRIVE INSURANCE
PO BOX 30108
TAMPA FL 33630-3108
ILLIILI��rIII�rIILrIII�I�II�IILIIrLd�IIII��II�ILI�LIII�IrILId
Policy number: 03658817-0
Policy holder: ROY EDWARDS
For immediate payment- go to
driveinsurance.com or call 877-278-1615 and
get instant confirmation.
If you pay by check, please allow 5 to 7
days for your payment to reach us. Write your
policy number on the check and make it payable
to United Financial Casualty Company.
Do not mute below this section of coupon.
CA 77906 Form 6769 (03M)
Balance Due At Cancellation
310803658817005384 0042420 0042420 5200097 2934522 008708180602