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FARMERS INSURANCE Fax:541-345-9698. Jun 16 2009 11:10am P002/002 <br /> GO~J1P19NX ~~I~'e~: FARMERS 9NSliR.ANCE COkvkk',~.N'`! OF GR~GO~T, irIIY iSI30R0, 092 <br /> 1~$L'R)rD'S ~AIvlE & %~DDRrSS: <br /> ~~-~YUY Y3ROV,~N -oi c~l~o: 7~ 7s;s-~ ` <br /> SCOTT C RRC?wN :~'GL_~;Y F7;T?c;ti: 2ND E <br /> 5~0 S b7'Tkx ST ~.rrN.~T;;r;-, i~,4;R: 06i~6;'2E,i}6 <br /> GXPiRAAT?G'.V i7.?.`^T=: CC?~fiN~,i®US :1~'x a'.`a. C~':'vCFLL~',,~E <br /> SPFLB OR 9'747& <br /> ISSliIl~G OFFFCr~: <br /> ! NORT!-kWEST S~.?~.vYCEPQI;ei'~ 4G,\T: l~iicliaei ~ Gzs!?cr E <br /> 123175 ?dT~v ~c~n2ti Street; Y~illsbc~ro, Okt 9712¢ <br /> 3 ?G;=1vTIv G: 73 x,5 35(? n,~~;VT?c;0~: ($4~ j334-i?4C1f; <br /> 9ESGRli~TIr~P~k JE I~ENE~E€ <br /> Year a 4~ake j Mode! : ` '~ahefe i3ficatir~r ^tuz52; <br /> 2006 JDOT~GE I R~:?vI rU 3500 R~:G CA.$ 2~JD 'T3D6WL4FC26Cr269674~ <br /> COIiERRGES m. cNT'RTFS iI~ THCCrS.4i~ilS OF i~O~~LARS. <br /> ~ r ~ '~P7gl]~L;`eR' !`/IOt.OC18T. TV` ~ r ~ <br /> 13G5i.y an,~urv - f xEt?.ca;/ t ..Orn}~. ~.Oi,g:pn <br /> -~i--..~ o i ' 7u~ No.~`aulc DeCucii;;a~ i DEdLCS~b1e I ioc;Jn_~ _ ~ ~'on-~.~-c f <br /> Ica 3~o s~ ~ i0G ~ _ ~ , i ~ , <br /> ~a~h ~ { 3G~J i~ :t3t30~ip I stir ~ 7;G ~ , ~C ~iC f <br /> t8th E26c ' EacY: <br /> n i i s <br /> Pef50A O^CUCC2~:CE ' ~ ~@YSOfl QCCllFi45CB i ~ ~ '•.iEti7. "~1BC:'c8l I <br /> x.~iS 2vj,tler;Cn iS SLi~3°C* f~! d!! G~' E@iY775, CC1l(;iCiG~S Gad lmiratiVns Se~ ford: in ;i1C: ~U~ICV~JCS; 'u'rt~ Ei?GrC?P$C•?"1"lc^.i1L5 <br /> aCI2cC~?°d tc i?. i; iS f',~x~Shed a~ ~ zx?~:t2r of irifor;rat;o~? G^?y a i-I tlOL'S C:GC Ch2z•?~e, rnGG~~V U" EXL r1d itle po!'^Y n Gx'~. <br /> tvati. Zt s~;~ersecles a1a.Gxev?ossly xssue~ Ce*tificare. <br /> Ist L?enhGtdez: ~GCitiot':a.u?i.er~st: <br /> S~I.,CO COIVi;WkUNkT'x'' CREDIT UN90S~ <br /> ~G k;O.Y 58025 <br /> '~'UIfV~1ILr~ W,E~,, 9813Ii-IG28 . <br /> ~i <br /> ~~i~~~ <br /> ~'6/1b;2f1G> <br /> F.u?.h D("%X,t':! ~(`J;rbSQ rl;. a.iVC De:E~ <br /> vlicEZaek H Eisner ACrN-N;~: 73 15 =50 <br /> <br /> 377 CUbu_ Rd r <br /> $u~er?e flR 974(?;-511G <br /> 25-6234 b-04 <br /> ~;823~10? <br /> x -06/16,2009 TUE 11.:09 [T%1R~ N0 5490] ~ 002 <br /> <br />