HomeMy WebLinkAboutKEITH SCOTT - INSURANCE CERTIFICATEFLOOD & PETERSON INC
PO BOX 578
GREELEY, CO 80632
KEITH SCOTT
3500 REAGAN CT
WELLINGTON, CO 80549
Your policy was canceled
on December 17, 2004 at 12:01 a.m.
PROMEME®
COMMERCIAL AUTO INSURANCE
Policy number: 04471954-4
December 27, 2004
Page 1 of 1
We were required by law to continue coverage until the date of cancellation. You still owe Progressive
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 Policy Services at 800-444-4487.
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Policy premium for coverage until December 17, 2004
..................................................................................................................
I ................
$4,866.00
Installment fees
..................................................................................................................
35.00
Late fees
............................................................................................................
10.00
InsAicient funds fees
..................................................................................................................
I .....
20.00
Otherfees
.......................................................................................
50.00
I ..........................
Total policy premium and fees
...................................................................................................
$4,981.00
Total amount paid
I ..............
-4,191.03
It is important that you obtain insurance as soon as possible. To purchase a new
Progressive policy or to see if you are eligible for commercial auto insurance, please call your agent at
970-356-0123.
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..................................
$789.97
January 6, 2005
..................................
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Policy number: 04471954-4
Policy holder: KEITH SCOTT
For immediate payment- to authorize
a withdrawal from your checking account
or make a credit card payment - go to
personal.progressive.com or call
800-444-4487.
If you pay by check, please allow 5 to 7
days for your payment to reach us by the
due date.
PROGRESSIVE
PO BOX 894749 Do not write below this section of coupon.
LOS ANGELES CA 90189-4749 00-76419 Form 6269 (03/03)
Balance Due At Cancellation
474904471954405014 0078997 0078997 0000000 0000000 008705110404