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<br />STATE FARM <br /> <br />A <br /> <br />INSURANCE <br /> <br />SEPTEMBER 05, 2006 <br /> <br />AUTO POLICY STATUS <br /> <br />HARTL, <br />3808 E <br />ORANGE <br /> <br />DAVID E <br />LARKS TONE DR <br />CA 92869-5355 <br /> <br />B PHONE: <br />MUTL V54 1083-A15-75P <br /> <br />00 LEXUS LS 400 <br />4DR <br />VIN: JT8BH28F3Y0177545 <br /> <br />(714) 544-5000 <br />IRG: 26 LRG: 05 <br />ZIP: 92869 <br />CLASS: OH30CV1F <br />ACC FREE: JUL-15-85 <br />BIRTH: APR-03-39 <br /> <br />STATUS:BAL D DUE DATE:SEP-13-06 TERM DATE: TOT PREM: <br />AMT DUE: 311.51 OXD:JUL-15-88 COY DATE:AUG-28-06 PREY PREM: <br /> <br />631.50 <br />647.74 <br /> <br />A 1MM /lMM /lMM <br />C5000 <br />D100 <br />G250 <br />H <br /> <br />262.80 R1 80% /500 <br />16.23 U 30 /60 <br />78.24 U1 <br />239.04 <br />3.20 <br /> <br />16.80 <br />14.11 <br />1. 08 <br /> <br />AMT PAID: 325.87 DATE PAID: JUL-25-06 <br />GRP 07/15/96, CDR SR 575.33, MCD 149.41, <br />LD 6 116.58, CGDD 157.88, VSD 30% 7.06, <br />ODM 57357 01-05, MLD 15% $108.04 HOMEOWNERS. <br /> <br />REPLACED POLICY: V541083-750 <br /> <br />B PHONE: (714) 544-5000 <br />POLICY FORM: 9805A <br /> <br />NAME: HARTL,DAVID E <br /> <br />EXCEP. & END: FINANCED <br />TERM NOTICE - CITY OF <br />SANTA ANA CA 92701. <br />DRVR DT OF LIC RL <br />DAVID 04/03/1955 SR <br /> <br />- MARIWEST PO BOX 53953 SAN JOSE CA 95153, INS. CERT <br />SANTA ANA CT ATTN: CITY CLERK 20 CIVIC CENTER PLAZA <br /> <br />NXT RL-DT <br /> <br />ACC/CONV DATE INFORMATION <br /> <br />REC CHG: <br /> <br />COY. S & Z NAMES <br /> <br />S AMT <br /> <br />Z <br />