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Usaa In s Agcy Inc <br />9806 Frdreksbrg Hsvcw <br />San Antonio, TX 78288 <br />Company Code: 38628 <br />Verification of Insurance for <br />Beau Negrete <br />pRacAEIrivF <br />Policy number: 40912057•9 <br />UnderuKitten by: <br />Progres9ve Northem Insurance Co <br />Policyholder: Beau Negrete <br />Page 2 of 2 <br />Febru ary 6, 2008 <br />Cuslomer Service <br />800-876-5551 <br />24 h ours a day, 7 days a vaeek <br />Please accept this letter as verification of inturance fa the driver and vehide Iisted below. <br />Policy and driver inforrnation <br />Policy number: <br /> <br />. <br />. <br />40912081-9 <br /> <br /> <br />. <br />. <br />Policy state: <br />. . . . <br />Oklahana <br />. . . <br />Policy penod:.. . . . . . <br /> <br />. . Od 18, . 2007 . -Apr . 1 . 8, 2008 . <br />. <br />Effedive date: <br />Feb 6, 2008 <br /> <br />. <br />. <br />_ <br />Driver: <br /> <br /> <br />. <br />Beau Negrete Named insured <br /> <br />. <br /> <br />Address: <br /> <br />. <br />309 E Main St <br />Hugo, OK 74743 <br />Vehicle ininrmation <br /> <br /> <br />Vehide: <br /> <br />. . <br />1992 Buidc Park Avenue4d <br />. <br />. <br /> <br />. . <br />Uehide identif~tion number: <br />. . . <br />. <br />. <br />1G4CW53~2N1615578 <br />Coverage informatan <br /> <br />Bodily Injury & Property Damage: 250/500/100 <br />This ver'rfication of insurance is not an insurance pdicy and does not amend, extend or aher the coverage afforded by <br />the policies listed herein. Notwithstanding any requirement, term a condition af any contract a other document with <br />respect to which this verification of insurance may be issued oi may pertain, the insurance afforded by the policies <br />described herein is subject to all the teims, exclusions and conditions af the pdicies. <br />If you have any quesiions, please call Customer Service. Thank you. <br />form Z117 (03r95) <br />