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    of 1

    s/9032948145

    SEAHARBOR INSURANCE AGENCY LLC


    P.O. Box 630308
    Monthly Installment
    Irving, TX 75063 Invoice
    (877) 220-6130 9032948145

    Company SEAHARBOR INSURANCE AGENCY LLC


    Policy No. SH726736
    RANDALL JUSTIN CLAGG Insured Name RANDALL JUSTIN CLAGG
    3301 N FM 1417 APT 413
    SHERMAN, TX 75092-3443 Account Balance $0.00
    Amount Due $88.34
    Balance Remaining $88.34
    Pay Off Amount $172.67

    Policy Number Effective Dates Payment Due Date Payment Amount Due *Late Payment Amount
    SH726736 02/19/2024 thru 08/19/2024 6/10/2024 $88.34 $98.34*
    *LATE PAYMENT - A payment postmarked or processed after the due date will be considered late and the late fee will apply.

    If paid in full, the amount due is $172.67.


    There will be a $30.00 NSF Fee charged on all returned checks
    Failure to make your payment will required a new down after the cancellation date.
    If the driver(s) or vehicle(s) listed below have changed, please contact your Agent immediately.
    Vehicles: 2012 SUZUKI SX4 CROSSOVER (US)/CROSSOVER PREMIU JS2YC5A34C6301863

    Drivers: RANDALL JUSTIN CLAGG


    JAYCEE MICHELLE MOORE

    ** This is not a DECLARATIONS PAGE. If you have any questions regarding your policy, please contact your agent. **
    Cut Along The Dotted Line
    ---------------------------------------------------------------------------------------------------------------------------------------------------------
    Detach and Return This Portion With Your Payment

    Insured Name RANDALL JUSTIN CLAGG Policy Number SH726736


    Address 3301 N FM 1417 APT 413 Payment Due Date 6/10/2024
    SHERMAN, TX 75092-3443 Payment Due Amount $88.34
    Phone Check Number _____________
    Check Amount $ _____________
    Agent: A-Max Auto Insurance - Texoma Pkwy
    1725 Texoma Pkwy Make Payment To:
    Sherman, TX 75090
    (903) 598-4160
    SEAHARBOR INSURANCE AGENCY LLC
    P.O. Box 630308
    Irving, TX 75063

    To make an online payment, please visit: seaharborinsurance.com

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