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SPECTRUM POLICY DECLARATIONS (Continued) <br /> POLICY NUMBER: 72 SRA AP8008 <br /> LOSS PAYEE: FORM SS 12 12 <br /> SEE FORM 1H 12 00 <br /> Form Numbers of Forms and Endorsements that apply: <br /> SS 00 01. 03 14 S5 00 05 1.0 08 SS 00 07 0'7 05 SS 00 08 04 05 <br /> SS 00 45 12 06 SS 00 60 09 15 SS 00 61 07 19 SS 00 64 09 16 <br /> SS 04 01 09 07 SS 01 21 02 20 SS 42 06 03 17 SS 04 08 09 07 <br /> SS 04 19 04 09 SS Oak 22 07 05 SS 04 30 07 05 SS 04 39 07 05 <br /> 55 04 41 03 18 SS 04 42 03 17 SS 04 44 07 05 SS 04 45 07 05 <br /> SS 04 46 09 14 SS 04 47 04 09 S5 04 80 03 00 SS 04 86 03 00 <br /> 55 40 18 07 05 SS 40 9.3 07 05 SS 41 12 06 22 SS 41. 51 1.0 09 <br /> SS 41 63 06 11 IN 10 01 09 86 SS 05 09 07 00 SS 05 47 09 15 <br /> Say 51 11 03 17 G-4190-0 III 12 05 02 21 SS 12 12 03 92 <br /> SS 50 19 01 15 1H 99 40 04 09 IH 99 41 04 09 SS 83 76 01 15 <br /> SS 89 93 07 16 <br /> TX 12 00 11 85 LOSS PAYEE <br /> Form SS OD 02 12 06 page 006 <br /> Process Gate; 02/21/24 Policy Expiration Date: 05/11/25 <br />