2021/02/05 Nancy K. Bohl, Inc. Notice of ReinstatementState Farm General Insurance Company
PO Box 853925
Richardson, TX 75085-3925
State Farm,
23 7501
AT1 007148 1005 01
CITY OF MENIFEE AND ITS
x� OFFICERS, EMPLOYEES, AGENTS
AND AUTHORIZED VOLUNTEERS
29844 HAUN RD
MENIFEE CA 92586-6539
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Notice of Reinstate ',.ent
Medical Office
Reinstatement date: February 5, 2021, 12:01 a.m. Standard Time
Date processed: January 21, 2021
Amount paid: No Amount Due
State Farm General Insurance Company
Policy number: 92-YD-0422-0
SFPP number: 0190992412
Your State Farm Agent
Gene Skala
Skala Insurance Agcy Inc
4214 N Sierra Way
San Bernardino, CA 92407-3821
Bus: 909-883-8861
Email: gene,skala.b6nI@statefarm.com
Please keep for your records
We are pleased to acknowledge receipt of the premium due on this policy. This policy will be continued in force subject to its printed
terms and conditions upon the payment check clearing through your bank,
Insured: Location:
NANCY K BOHL INC Multiple Locations
DBA THE COUNSELING TEAM
INTERNATIONAL AND DBA THE
ORGANIZATIONAL NETWORK
PO BOX 10427
SN BERNRDNO CA 92423-0427
Policy Number: 92-YD-0422-0
Prepared: January 21, 2021
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Page 1 of 1
1009364 2000 152832 200 09-08-2017
007148
State Farm General Insurance Company
PO Box 853925
Richardson, TX 75085-3925
State Farm
23 7501
AT1 007279 1005 01
CITY OF MENIFEE AND ITS
OFFICERS, EMPLOYEES, AGENTS
AND AUTHORIZED VOLUNTEERS
29844 HAUN RD
MENIFEE CA 92586-6539
Notice of Reinstatement
Medical Office
Reinstatement date: February 5, 2021, 12:01 a,m. Standard Time
Date processed: January 21, 2021
Amount paid: No Amount Due
State Farm General Insurance Company
Policy number: 92-LB-1426-1
SFPP number: 0190992412
Your State Farm Agent
Gene Skala
Skala Insurance Agcy Inc
4214 N Sierra Way
San Bernardino, CA 92407-3821
Bus:909-883-8861
Email: gene.skala.b6n1@statefarm,com
Please keep for your records
We are pleased to acknowledge receipt of the premium due on this policy, This policy will be continued in force subject to its printed
terms and conditions upon the payment check clearing through your bank.
Insured:
NANCY K BOHL INC
DBA THE COUNSELING TEAM
INTERNATIONAL AND DBA THE
ORGANIZATIONAL NETWORK
PO BOX 10427
SN BERNRDNO CA 92423-0427
Policy Number: 92-LB-1426-1
Prepared: January 21,2021
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Location:
Multiple Locations
Page 1 of 1
007279
1009364 2000 152832 200 09-08-2017