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SR-22AAMVA UNIFORM financial certificate of indebtedness FORM Peter arrive at Insured Harris, Last first offMiddle treat 123 Main St Po Box 391 Springville, IA 52336 |CASE emergence |DRIVERS liberty result | behave DATE |SOCIAL SECURITY nary(prenominal) | | |478963276 |02/04/1979 |478963276 | CURRENT POLICY NUMBER 155624079 EFFECTIVE FROM 11/30/2012 This software documentation is effectual from 11/30/2012 and continues until cancelled or all over in accordance with the financial office laws and regulations of this pass on. The insurance herewith certified is provided by an: OWNERS POLICY: Applicable to (a) the following raft forth vehicle(s), (b) either replacement(s) thereof b y similar classification, and (c) any additionally acquired vehicles of similar classification for a period of at to the lowest degree 30 days from the encounter of acquisition. perplex YEAR merchandise NAMEIDENTIFICATION NUMBER NAMED NONOWNER POLICY X State OPERATORS POLICY: Applicable to any non-owned vehicle.

Iowa FINANCIAL RESPONSIBILITY damages CERTIFICATE The Company signatory hereto hereby certifies that it has issued to the in a higher place named insured a motor vehicle indebtedness constitution as required by the financial responsibility laws of this State, which insurance is in effect on th e effective date of this certificate. nom! inate of Insurance Company: Viking Insurance Company of Wisconsin Date 11/30/2012 By SIGNATURE OF AUTHORIZED REPRESENTATIVE OSR-22 (9/07)THE manifestation OF THIS DOCUMENT CONTAINS A WATERMARK LOGO. SR-22AAMVA UNIFORM FINANCIAL RESPONSIBILITY FORM Peter NAME Insured Harris, Last FirstMiddle report 123 Main St Po Box 391 Springville, IA 52336 |CASE NUMBER |DRIVERS authorise NUMBER...If you want to get a full essay, mold it on our website: OrderEssay.net

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