2020/03/29 Quiroz Tacos Notice of ReinstatementState Farm General Insurance Company
PO Box 853925
Richardson, TX 75085-3925
23 3261
AT 1 007303 1005
CITY OF MENIFEE
29714 HAUN RD
MENIFEE CA 92586-6540
Iliil�illrll.I.�'I�III�II�I"I��IIII�I'I�illl���llll�ll�11���111�
Notice of =reinstatement
State1Farm,
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: pate,peterson.piez@statefarm.com
Food Shop
Reinstatement date: March 29, 2020, 12:01 a.m. Standard Time
Date processed: March 16, 2020
Amount paid: No Amount Due
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
City of Menifee
Finance
MAR 2 7 2020
Received
Policy Number: 92-C1-AB15-5
Prepared: March 16, 2020
AI-V
Location:
23130 MAPES RD
PERRIS CA 92570-7542
Page 1 of 1
007303
1009364 2000 152832 200 W08.2017