2021/03/01 Quiroz Tacos Notice of ReinstatementState Farm General Insurance Company
PO Box 853925
Richardson, TX 75085-3925
23 3261
AT1 006015 1005 01
CITY OF MENIFEE
29714 HAU N RD
MENIFEE CA 92586-6540
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Notice of Reinstatement
Food Shop
Reinstatement date: March 1, 2021, 12:01 a,m, Standard Time
Date processed: February 15, 2021
Amount paid: No Amount Due
A State Far►n
State Farm General Insurance Company
Policy number: 92-C1-A815-5
SFPP number: 1184085423
Your State Farm Agent
Pete Peterson
1688 N. Perris Blvd.
Ste H6
Perris, CA 92571-4709
Bus: 951-657-1905
Email: pete.peterson,piez@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:
QUIROZ, DELIA
DBA QUIROZ TACOS
23130 MAPES RD
PERRIS CA 92570-7542
Policy Number: 92-C1-AB15-5
Prepared. February 15, 2021
AN
Location:
23130 MAPES RD
PERRIS CA 92570-7542
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