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State Farm Mutual Automobile Insurance Company <br /> PO <br /> 8 oomuingtonBiL 61702-2358 • State Far <br /> AT2 A-2108 A <br /> STEVENS, YASMIN & ROBERT W <br /> 45AUGUSTA AUTO RENEWAL <br /> IRVINE CA 92620-3283 <br /> PREMIUM PAID: $451.19 <br /> DO NOT PAY. <br /> Your premium is billed through the State Farm Payment Plan <br /> LAP�PROVED State Farm Payment Plan Number: 1003079402 <br /> ran Nguyen at 3:19 pm,Apr 23,2026 y <br /> Your State Farm Agent <br /> MIKE MAST <br /> Policy Number, C171868-005-05H Office:831-384-0155 <br /> Policy Period: March 5, 2026 to September 5, 2026 Address:326 RESERVATION RD STE C <br /> Vehicle: MARINA, CA 93933-3257 <br /> 2008 TOYOTA HIGHLANDER if y9u have a ne w orditferent car,have added any drivers,orhave moved, <br /> Principal Driver: please contact your agent. <br /> ROBERTW STEVENS Thankyou forchoosing State Farm. <br /> Notice of insurance Information collection practices- You have the right to submit a written request to access, <br /> personal,family, or household insurance transactions: correct,amend,or delete your personal information and the <br /> We may collect customer information from persons other right to receive a response within 30 days of submitting your <br /> than the individual or individuals applying for coverage. request. If we deny your request,you have the right to file a <br /> Such customer information as well as other personal or statement with us containing the information you feel is <br /> privileged information subsequently collected may, in certain accurate and fair along with the reasons you disagree with <br /> circumstances, be disclosed to third parties without your our denial. Instructions on how to file such request and our <br /> authorization as permitted by law. full privacy notice can be found <br /> (continued on next page) <br /> Policy Number:C17 1868-005.05H Page number 1 of 5 <br /> Prepared January 12,2026 <br /> 1004583 143562 202 01-15-2018 <br /> CONVENIENCE SAVES <br /> TIME, MONEY <br /> ... AND <br /> TREES, <br /> You have the option to pay your bills online by opting <br /> for ePayment on statefarmxoms. <br /> Get to a better State`'. Tree <br />