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Usaa InsAgcy Inc <br />9806 Frdreksbrg Hsvtw <br />San Antaniq TX 78288 <br />Company Code: 38628 <br />Verification of Insurance for <br />Beau Negrete <br />PAllGEIEll/1/EMWinsuml" <br />IbiKy number: 40912051-9 <br />UnderuKitten by: <br />Progrenive Northem Insurance Co <br />Policyholder: Beau Negrete <br />Page 2 of 2 <br />Febru ay 6, 2008 <br />Cusfamer Service <br />800-876-5551 <br />24 hours a day, 7 days a week <br />Please accept this letter as verification of insurance for the driver and vehide Iisted below. <br />Policy and driver information <br />_ <br />Policy number: <br />. <br />. <br />409.1208.1- <br />. <br />. <br /> <br />Policy state: <br /> <br />Oklahoma <br />. <br />. . <br />Policy period: <br /> <br /> <br />Od 18,.2007 . <br />. -Apr 18,.2008 . . . . . <br />. . <br /> <br />Effedive date: <br />Feb 6, 2008 <br /> <br />. . <br /> <br />. <br />. <br />Driver: . . . . . . . . . . <br />. . . . . <br />Beau Negrete Named insure <br /> <br /> <br /> <br />Address: <br /> <br />309E Main St <br />Hugo, OK 74743 <br />Vehicle information <br /> <br />. <br /> <br /> <br />Vehide: <br />. <br /> <br />1992 Buidc Park Avenue4d <br />. . . . <br />. <br />. <br />. <br />Vehide identification number: <br /> <br />. <br /> <br />1G4CW53L2N1615578 <br />Coverage iniormatan <br /> <br /> <br />Bodily Injury & Property Damage: 2501500/100 <br />This ver'rfication of insurance is not an insutance pdicy and does not amend, extend or aher the coverage afiorded by <br />the policies listed herein. Notwithstanding any requirement, term or condition of any contract a other document with <br />respect to which thk verification of insurancP may be issued or may pertain, the insurance afforded by the policies <br />described herein is subject to all the terms, exclusions and conditions of the pdicies. <br />If ycw have any questions, please call Customer Service. Thank you. <br />form Z177 (03p5) <br />_.1. <br />