2023/03/03 Quiroz TacosState Farm lnsurance
PO Box 2915
Bloomington. lL 6 1 702-29 1 5
AT1 004146 1005 01
CITY OF IVENIFEE
29714 HAUN RD
tvlENrFEE CA 92586-6540
&StateFarm
23 3261
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Pollcy number: 92-C1-A81 5-5
SFPP number: 1184085423
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Your State Farm Agent
Pete Peterson
1850 N. Perris Blvd.
Ste 830
Penis, CA 92571
Bus: 951-657-1905
Email: pete. pstorson. piez@statelarm. com
Notice of Reinstatement
Food Shop
Reinshtement date: March 3, 2023,12.01 a.m. Standard Time
Date processed: Fabruary 22,2023
Amount paid: No Amount Duo
Plsase keep for your racords
We are pleased to acknowledge reoeipt of the premium due on this policy. This policy will be continued in force subject to its printed
terms and oonditions upon th6 paymant check clearing through your bank.
lnsured:
QUIROZ, DELIA
DBA OUIROZ TACOS
Locatlon:
23130 MAPES RD
PERRIS CA 92570.7542
Polrcy Number 92-C1-A815-5
Prepared February 22. 2023
Page 1 of 1
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State Farm General lnsurance Company