Transcription of ACORD STATEMENT OF NO LOSS
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ACORD STATEMENT OF NO LOSS
TMPRODUCERINSURED'S NAMETELEPHONE NUMBER:COMPANY:APPROVED BY:POLICY #CODE:SUBCODE:CANCELLATION DATEDATE AND TIME SIGNEDAPPLICANT'S SIGNATUREPRODUCERWITNESSDATE AND TIMEDATE AND TIME$AMOUNT RECEIVED BY: ACORD 37 (1/96) ACORD CORPORATION 1996 RECEIPTI CERTIFY THAT THERE HAVE BEEN NO LOSSES, ACCIDENTS ORCIRCUMSTANCES THAT MIGHT GIVE RISE TO A CLAIM UNDERTHE insurance POLICY WHOSE NUMBER IS SHOWN ABOVE,FROM 12:01 AM OF NO loss
THE INSURANCE POLICY WHOSE NUMBER IS SHOWN ABOVE, FROM 12:01 AM ON TO . ACORD STATEMENT OF NO LOSS. Author: Suzanne Cowan Created Date: 8/15/2012 4:19:52 PM Title:
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