HomeMy WebLinkAboutRogers, Lyn A 02.09.2024stateFarm STATE F Ri4 @
DATE OF NOTICE: FEB .09 2024
PO Box 2358
Bloomington IL 1702-235 CODE:
288
AT 1 Q A'
000723 0055
THE TOWN OF LIDS ALTOS DILLS, NOTE: PLEASE SE NOTIFY STATE FARM AT THE
ITS ELECTIVE & APPOINTED ADDRESS LISTED T TIME TOIL, LEFT CORNER
�OFFICERS, EMPL OYEE Y AND OF THIS IMAGE REGARDING ANY HANGE OF
VOtUNT26379 F EMONT . D ADDRESS INFORMATION,
4
LOS ALTOS IMLs CA 94022
.,E ...... A: ROPARTY: .......
i
NAME
DNSURiED,LI : 324 7 6W 20M0 C CEI E,
ROOERS, L1�N A YR/MAKE/MODEL:
R/ AIDE/ I EL: 2007 FORD . 4DR
PO BOX 4132 'VI '.CAM ER.:FAHF07 78216344
. LC LT 4024-11AGENT' DIANE: JOSEPH FRAM IFH INS AGS( IN
AGENT PHONE: (408)793-8303.
HD PARTY INTEREST TERMINATED
EFFECTIVE MAR 20 202
.P
OLICYES:
Protection et the third party's interest provided by this policy is terminated as of the effective date above.for the following' reason: Third party
intore'st terminated. This advance notice is solely to protect the third party's interests as they r affected by the ownership, rn intenancO, or
use of the ear described in the policy.
FRT