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SR-22AAMVA UNIFORM financial function FORM Peter style Insured Harris, Last first offMiddle treat 123 Main St Po Box 391 Springville, IA 52336 |CASE emergence |DRIVERS liberty hail | carry DATE |SOCIAL SECURITY nary(prenominal) | | |478963276 |02/04/1979 |478963276 | CURRENT POLICY NUMBER 155624079 EFFECTIVE FROM 11/30/2012 This software documentation is efficient from 11/30/2012 and continues until cancelled or all all over in accordance with the financial office laws and regulations of this disk operating system. The insurance hereby certified is provided by an: OWNERS POLICY: Applicable to (a) the following fixed forth vehicle(s), (b) whatsoever replacement(s) thereof by si milar 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. forge YEAR merchandise NAMEIDENTIFICATION NUMBER NAMED NONOWNER POLICY X State OPERATORS POLICY: Applicable to any non-owned vehicle.

Iowa FINANCIAL RESPONSIBILITY insurance form _or_ system of government CERTIFICATE The Company signatory hereto hereby certifies that it has issued to the in a higher place named insured a motor vehicle indebtedness policy as required by the financia l responsibility laws of this State, which p! olicy is in effect on the effective date of this certificate. create of Insurance Company: Viking Insurance Company of Wisconsin Date 11/30/2012 By SIGNATURE OF AUTHORIZED REPRESENTATIVE OSR-22 (9/07)THE stage OF THIS DOCUMENT CONTAINS A WATERMARK LOGO. SR-22AAMVA UNIFORM FINANCIAL RESPONSIBILITY FORM Peter NAME Insured Harris, Last FirstMiddle hatch 123 Main St Po Box 391 Springville, IA 52336 |CASE NUMBER |DRIVERS manifest NUMBER...If you want to get a full essay, mold it on our website: BestEssayCheap.com

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