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1555 Promontory Circle
Greeley 00 80636-0001
DATE OF NOTICE: MAY 08 2009
CODE:
36
AT1 20 A
002247
ATTN: PURCHASING
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
NOTICE 'OF TERMINATION`OF A THIRD P..ARTYINTEREST
AGENT PHONE: (970)484-1374
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES: EFFECTIVE MAY 21 2009
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason:
Cancellation of Liability Coverage. This advance notice is solely to protect the third party's interests as they are affected by the ownership,
maintenance, or use of the car described in the policy.
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FRT