1978-0109_C.T. & F, INC_Insurance CancellationNOTICE OF CANCELLATION
TO MORTGAGEE AND/OR
CERTIFICATE HOLDER •
TRUCK INSURANCE EXCHANGE
❑ MID-CENTURY INSURANCE COMPANY h E L
F-1JE,ii
LOAN
CANCELLATION DATE
r
I-�-7u
NUMBER
v
T' F I (JC
INSURED -0
r �/
POLICY OR
CERTIFICATE NUMBERISI
AGENT 5 NUMBER
CANCELLATION DATE
29 �I 30-j
I-�-7u
You are hereby notified that all coverage extended to you under
the above listed policy will be cancelled and all liability of this Ex-
change or Company will cease at 12:01 A.M. on the Cancellation
Date shown above.
❑ You are hereby notified that all coverage extended to you under
the above policy(ies) or certificate(s) on:
will be cancelled and all liability of this Exchange or Company will
cease at 12:01 A.M. on the cancellation date shown above.
CITY OF SAN JUAN CAPISTRANO
.321100 PASEO ADELANITO
SAN JUAN CAPISTRANO, CA 92u"j5
ATTN: CITY CLERK
NOTE TO MORTGAGEE. Your loan with this poLgholdve
er may ha
iv
expired, however, this notice complies with the provision of our policy.