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fiAT! FARM <br />tNfURANCI <br />S <br />Binder of Insurance <br />Pending issuance and delivery of a policy pursuant to the application of the <br />insured and to all the terms and conditions of the policy issued by the company <br />the <br />State Farm Mutual Automobile Insurance Company <br />Does hereby insure: GARY E JOHNSON <br />120 3RD ST <br />SEAL BCH, CA 90740-6007 <br />Policy Number: L35 8237-C03-75B <br />Year Make <br />2D02 MERCEDES E430 4DR <br />Liability <br />1M/1M/1M <br />Vehicle Identification Number (VIN) <br />WDBJF70J52B408360 <br />Coverages <br />Comprehensive <br />$500 <br />Collision Ded <br />$1000 <br />Effective June 05, 2008, expiring not to exceed thirty (30) days hence <br />and to become void immediately upon the issuance of a policy in place hereof- <br />ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY <br />OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM <br />CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF <br />MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A <br />FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO <br />CRIMINAL AND CIVIL PENALTIES. <br />Date ~-S ~~~~ / <br />Aut oraze Representative <br />AS TD FORD <br />AY4RO~D <br />P E. StOR~rttieY <br />psststa~ /t <br />