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PR WORKS INS VtVCS <br />727 SILVER SPUR *200 <br />PA OS VERDES PEN. CA 90274 <br />WILBURN FOWLER <br />10660 GENnAIq AVENUE <br />RIVERSIDE, CA 97,508 <br />sigam <br />WILBURN FOWLER <br />Policy Number 02630491-3 <br />Undemduen by. <br />Urroted Foanual Cam Co <br />Dane olMaHing January 4� 2019 <br />Pblky Pe nod Avg 23, 2018 , AU9 2.3, 2019 <br />Pap I of 2 <br />PROWORKS INS SKVCS <br />1-310-255-9600 <br />online Service <br />progremlveageaLcom <br />Customer Service <br />1400-444-4487 <br />UnIonunalely, we didn't receive your payment and, as a fesuh, your imlicy will be canceled at 12:01 a,m. an January 25, <br />2019. <br />Please know that this means you will no longer have insurance coverage. <br />We value you as a custurner and wani to continue being your insurance provider.'N avoid cancellalion, please send us <br />your payment by check of money older so that R is received of postmarked by 12:01 a.m. on January 25, 2019. This way, <br />11hele will be no lapse in your coverage. <br />11 you've already sent your payment, thank you. Your next regular payment will be due on.lamiary 23, 2019. <br />You can also pay onHne of over the phone using a credil raid of authorizing a willidIrawal from your bank account, We'll <br />coedit your payment fight away so your linswance coverage will continue., <br />We sincerely appieclale yout attention to this matter and ihank you for your business, <br />11 you've scheduled a payment, we've canceled it, please pay the amount due (if any). <br />a <br />Please see the reverse side. Cm*wtil an hwi <br />. . . . . . . . m. . . . . . . . . . . . . I . I . . . . m. . . . . . w. v o® . . . . w. . . . iu ro I . . o . . <br />wro, 1 um. am ., ...... '''12j,47.1,0, <br />kri;,U,WJo-s'e-d ............... ............... $ .......................... <br />.... ...... <br />To mairrta4i conirnuous coverage, your payment must be ierAved or <br />postmarked by 12 01 a rn , on Jawary 250 2019> <br />11111111111-1 1-111'ril III III% <br />P110,15RE5SIVE <br />DEPT 0551 <br />CAROL STREAM u64'00132 0561 <br />Policy Number 02630491-3 <br />WILBURN IFOWLER <br />For irmireAale payment, please go to <br />progtew ".earl curn at WI 1.837-2'78 1615, <br />If you pay by check, please allow five to seven <br />days for yetis pa car to reach us. Wale yout <br />polky number on the che& and make it paphle <br />to Untled finarkcW Cas Co. <br />Do 101 vAfVI bleaw fhn Wfamn rAwwapan <br />CA 78633 Fami 11526a (11101110) <br />056102630491 1043810 0234710 1618970 .51101111022 1961635 003008231809 <br />