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<br />¡ )fo V ! EXAS UAEÙUI '1-~INSURANCE CARU... ï his policy provid~es at least the mInimum amounts of liabílt
<br />1 ,. ~nsurance requireé the Texas Motor Vehicle Safèty Respor. ¡ty Act for the specified vehicle and nam.
<br />.! / Insureds and may provide coverage for other persons and other vehicles as provided by the insurance policy.
<br />1 KEEP YOUR Insurance CO[l1DanV V h':!e Y. M k! Mod f C d '
<br />¡ CURRENT 10 STATE FARM MUTUAL AUTOMOBILE e IC,--_- g.(!' F~RE}) eo overe VehIcle. VIN
<br />~ ~ARD UNTIL INS U RAN C E CO. 1 F T H X 2 5 19 G K A 7 4 4 4 6
<br />1 EFFECTIVE
<br />...A. TE OF THIS 1 - 8 00- 2 5 2 - 1 93 2
<br />I CARD. "
<br />! ~~1rt~r p¿~~?! N. J R' 3801-86 !
<br />,; PHONEt 903-5_~9-547.1 ~~" :~, [)'-- ~,' '< ¡: J ", ,"'; "
<br />. . "~h ~<. ',' ,...e,,' ',¡,"",1
<br />¡ Policy Number 61~j2,946:::~B03~43A' p::,:\ ~:""-?,If.t~r-gR SERV~'CESi & SERVICE SA~E
<br />! r,.'! ,""'> '{'v'; f;:,; "v,.;,PO BOX 1007" !
<br />. MINEOLA TX . 75773-7007 "f
<br />Renewal EfOfeçtlve Date Renewal Exoiration Date ' ",.' ,
<br />( F EB 13 94 to AUG 03 94 ,.
<br />
<br />\pËwages 1- A B P 3 D 50 G 2 SOU ,-
<br />
<br />
<br />
<br />
<br />I KEEP THIS LIABILITY INSURANCE CARD IN YOUR VEHICLE OR POSSESSION ,',
<br />j COVERAGE SYMBOL-COVERED AUTO NUMBER-PREMIUM-COVERAGE NAME-LiMIT-AUTO COVERAGE SYMI:IUL. IIVlrvn I MI'I I "'" """"""" ,....,. - [
<br />
<br />
<br />
<br />j AB LIABILITY - (SYMBOL 7) .: ~
<br />~ $116.00 BODILY INJURY LIABILITY , i
<br />i LIMIT-COVERAGE AB - EACH PERSON, EACH ACCIDENT 9,
<br />100,000 300,000 f
<br />~ $35.00 PROPERTY DAMAGE LIABILITY i
<br />LIMIT-COVERAGE AB - EACH ACCIDENT r
<br />" 50,000 r
<br />J P3 $15.00 PERSONAL INJURY PROTECTION(SEE ENDORSEMENT) t
<br />i LIMIT-COVERAGE p3 - EACH PERSON 10,000 - ~
<br />i D $22.00 $50 DEDUCTIBLE COMPREHENSIVE - (SYMBOL 7) . ~
<br />: G $29.00 $250 DEDUCTIBLE COLLISION - (SYMBOL 7) .
<br />~ U UNINSURED/UNDERINSURED MOTORISTS(SEE ENDORSEMENT) t'
<br />; $21.00 LIMIT-COVERAGE U-BODILY INJURY ;
<br />{ EACH PERSON, EACH ACCIDENT :
<br />,; 25,000 50,000 r.
<br />1 $9.00 LIMIT-COVERAGE U-PROPERTY DAMAGE($250 DEDUCTIBLE) 1:
<br />j EACH ACCIDENT ~
<br />, 25..000 t
<br />~ $247.00 ESTIMATED TOTAL PREMIUM FOR POLICY PERIOD FEB-03-94 TO AUG-03-94 t
<br />:" f
<br />,-----------------------------~-----------------------------------~------------- k
<br />
<br />~ EX PTIONS AND ENDORSEMENTS ATTACHED TO THIS POLICY. --J
<br />1 PR IUM FOR ENDORSEMENTS(SHOWN ABOVE WHEN APPLICABLE) f
<br />
<br />~ FINKNCED-ANY LOSS UNDER PHYSICAL DAMAGE COVERAGE IS PAYABLE AS INTEREST MAY ~
<br />: APPEAR TO THE INSURED AND LIND ALE NATIONAL BANK, PO BOX 960, LINDALE TX f,:
<br />~ 75771. ~.
<br />'~ ~
<br />~ IL 00 21 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT BROAD FORM. I~
<br />~ TE 00 39B AMENDATORY ENDORSEMENT: CHANGE CONDITIONS AND DEFINITIONS. t'.
<br />) ITEM 2-SYMBOL 7 SPECIFICALLY DESCRIBED AUTOS. - ~
<br />~ TE 04 01C PERSONAL INJURY PROTECTION ENDORSEMENT-TEXAS (COVERAGE P). "
<br />1 TE 04 06B MEXICO COVERAGE-LIMITED.
<br />1 TE 04 09C UNINSURED/UNDER INSURED MOTORISTS INSURANCE (COVERAGE U).
<br />i TE 20 35A LOSS PAYABLE CLAUSE-MODIFIED.
<br />~ TE 99 60A SUPPLEMENTARY DEATH BENEFIT. ~
<br />i ~
<br />~ i
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<br />1 I'
<br />ì f
<br />'¡ , ~
<br />1 - ~
<br />~ THIS IS YOUR DECLARATIONS PAGE COUNTERSIGNED 01-03-94 ~
<br />:1 PLEASE ATTACH TO YOUR AUTO POUCY BOOKLET BY V L VINCE COLVIN 380Î-8ó i
<br />',j YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS, AND THE POLICY BOOKLET, FORM 9843 U . 2 N T PLEASE KEEP TOGETHER I'
<br />1 REPLACED POLICY 6122946-43 ¡
<br />,) 155-4972.1 ¡
<br />. '
<br />
<br />'oy:: ~~~f¡~£;1~i~,' '-:U~; ~rI'Jj?,r ùii' "r~-~(r, :l~~: : "T" -:~; Tom .,> 'lI:r I:
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