HomeMy WebLinkAboutROY EDWARD R AND J TRUCKING - INSURANCE CERTIFICATEBLUFFS INS AGCY INC
PO BOX 579
PINE BLUFFS, WY 82082
ROY EDWARDS
R&1 TRUCKING
1950 E DOUGLAS RD
FT COLLINS, CO 80524
Your policy was canceled
on December 10, 2006 at 12:01 a.m.
Policy number: 03658817-0
Underwritten by:
United Financial Casualty Company
December 19, 2006
Page 1 of 1
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.
....................................................................................
Policy premium for coverage until December 10, 2006 $5,334.00
..................................................................................... I ...........................I
Installment fees 15.00
..................................................................................................................
Late fees 10.00
_............................................................................................. _..
Insufficient funds fees 20.00
........................ ... ................................ I............ _.
puler fees 75.00
...............................................................................................................
Total policy premium and fees $5,454.00
..................................................................................................................
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.
.......................................................................................
11111111111111111111111111111111111111111111111111111111111111
DRIVE INSURANCE
PO BOX 30108
TAMPA FL 33630-3108
IIddILLl 1H,11111111 u1111111111111111 111111111LJI1111d1111111
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 write below this section of coupon.
CA-77906 form 6269 (03t03)
Balance Due At Cancellation
310803658817005384 0244220 0244220 5200104 3422827 008708180602
DRIVE INSURANCE rlrivox
PO BOX 94739
CLEVELAND, OH 44101-4739 000na xwx.xu nox FAUAM W
CITY OF FT COLLINS
117 N MASON
FT COLLINS CO 80524
0015U