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--RE-Rtl'RED P+Wtt7H6 Mpr/E. THE ORgINALiRA1tl+1CnOH A4lY +R~tUDEAD01M7W1L FORMg '^• <br />~f1SUl'~fiCC:., POLICY NUMBER: A2074142 <br />....e. a ur.r r..rv,.. <br />5AFEC0 WSURANCE COElPANY OF Ai~IEgICA <br />AUTOMOBILE POLICY i?ECLARATlONS <br />(CONTINUED) <br />TOTAL EACH VEHICLE: 2008 BMY1 S 475.90 <br />198b HOND 182.D8 <br />TOTAL PREMIUM FOR ALL VEHICLES .......................................... 5---657 90 <br />You can pay your premium in full or in installments. If you pa in installments <br />using automatic deduction, no installment fee will apply to each installment. If <br />you pay in installments without using automatic deduction, a 54.00 installment fee <br />will apply to each installment. If there is more than one policy billyd on the <br />installment bill, only the highest fee amount would be applied to the bill. <br />CONGRATULATIONS! YOUR PREMIUM INCLUDES DISt0UNT5 AND ADJUSTMENTS FOR: <br />Ac[ount, Good Driver, Longevity, Multi-Car, Both Side Air Bag <br />POLICY FORKS APPLICABLE TO THIS POLICY; <br />SA-Lfi97/EP 9/90, SA-1852/CAEP 12/08, SA-1701/EP 9/90. SA-1414/EP 2/93, <br />SA-1700/EP 7/09, SA-1696/EP 1/44 <br />S';~~~p 91BQ Page 2 of 2 <br />