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| 06-15-2024 |
| Request to cancel by customer |
| Please cancel Policy #1029643-3 |
| Insured Name: ERIC BOSTICK |
| Reason for Cancellation: The insured requested to cancel |
| Vehicle inoperable. |
| I would like to cancel my policy effective 06-15-2024 |
| x______________________________________________ |
| signature |
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Thanks for your help. Crown Superior LLC 678-805-2223 |