1976-0715_C.T. & F, INC_Insurance CancellationN T �E OF CANCELLATION OR NONRENAL
(California) (�
OF GENERAL LIABILITY—AUTOPLOBILE POLICY
KIND OF POLICY
POLICY N0. ISSUED THROUGH AGENCY OR OFFICE AT ICANCRUTION OR EXPIRATION WILL TAKE EFFECT AT. DATE OF NOTICE
M.11. BUE'TTNER 6 CO.'INC. (Date) (Hour—Standard Tme)
3325 WILSHIRE BLVD.
GL _61-16_ 50 __ IAS-ANGELEST CA. 90005-----1-71151-74 LZ -O" -X. - 6/-10/76—
INSURANCE YOSEMITE INSURANCE COMPANY
COMPANY 717 MARKET STREET
SAN FRANCISCO, CA 94103
NAMEAND C.T. 6: F. INC. AND/OR STATE EQUIPMENT,CORP
ADDRESS 6853 LIVE OAR STREET
of INSURED BELL GARDENS, CA 92001
(Specific information concerning the cancellation
or nonrenewal has been given to the Insured.)
TO LIENHOLDER:
CC: AFCO
3450 WILSHIRE BLVD.
LOS ANGELES, CA 90010
ACCT. 4 41 43432-5
SUPERIOR SIGNAL
1
Cl) i C7
Cori, t7
v
o a+
I
You are hereby notified that the agreement under the Loss Payable Clause payable t0 you as Lienholder, which is a part of the above policy, issued to the above
insured, is hereby cancelled (or terminated) in accordance with the conditions of the policy, said cancellation (or termination) to be effective on and after the our
and date mentioned above. rP
......I.. AYRES........................1�............
...............
INSURANCE . YOSEMITE INSURANCE COMPANY Authorized Representative
COMPANY 717 MARKET STREET
SAN FRANCISCO, CALIF. 94103
CITY OF GARDEN GROVE,FRANCIS CHEATHAM,11391 ACACIA PARKWAY,GARDEN GROVE, CA 92640
NAMEAND . CITY OF PARAMOUTH A.J. MAGANA,16420 COLORADO AVE., PARAMOUNT,CA 90723
ADDRESS . CITY OF SAN JUAN CAPISTRANO ,MRS.MARY ANN HANOVER,CITY CLERK,32400 PASEO ADELANTO
OFLIEN- . SAN JUAN CAPISTRANO, CALIF. 92675
HOLDER CITY OF SEAL BEACH,CITY HALL,211 EIGHT STREET, SEAL BEACH,CA 90740
LEASING ENTERPRISE,INC. 6, A.P.T. CO.,2852 KELVIN AVENUE,IRVINE,CA 92705ATT:LOWEL SNEATP
CITY OF AZUSA,JOHN DANGLES,213 E. FOOTHILL BLVD.,AZUSA,CALIF.
Ge 8691b (Ed. 1-75) LIENHOLDER'S COPY