[insurance][policy][update]

[goal]

indemnifier

MINIMUM DUE  $83.67

DUE DATE  2/18/2017

AMOUNT PAID [PII]

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2/21 $41.84

2/28 $41.83

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             |_________> 03-28-17  3/22  3/29 ------------------> 04-28-17

[objective]

company

Receipt of Payment  # 682614  Tuesday, February 21, 2017  5:17 PM

AALL Insurance, GGD                                            CHRISTOPHER HARRIS

1160 E VanBuren (inside GGD MVD)                   PO BOX 2283

Mesa AZ, 85204                                                      PHOENIX, AZ 85007

Tel: (602) 759-5846  Fax: (602) 445-9244            Tel: (469) 510-4815  Fax: (602) ___-____

E-mail: service@AALL.net                                      E-mail:

Website: www.AALL.net

Received By  [PII]                                                    TOTAL DUE  $67.00  Receipt Notes

Carrier  ABSOLUTE INSURANCE GROUP            $67.00  $13.00 change given

Payment Type  PMT                                               Amount Paid  $80.00

Payment Method  Cash                                        Change  $13.00

Policy Number  AZA-005-02302                          Balance  $0.00  [PII]

Policy Period  11/1/2016  To:  5/1/2017

Customer ID  106019

044

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