Laserfiche WebLink
301368 <br /> LEAGUE OF MINNESOTA CITIES INSURANCE TRUST <br /> IIII 1 c/o North Star Risk Services, Inc. <br /> nu 61IIII—llll 1401 West 76th Street, Suite 550 <br /> Minneapolis, MN 55423 <br /> LUJ (612) 861-8600 DATE 09/04/9° <br /> ANT NUMBER FROM COVERAGE PERIOD To COVERAGE PROVIDED BY AGENCY,_ PAGE <br /> CP1C +101 r:?1 1 r.�+ r16: 1 L . M.C . I . _� . 000069 <br /> :OVEREO PARTY AND ADDRE S AG <br /> CITY OF ST <br /> AN bRP. RESOURCES INS. aGENCY, IN <br /> 3301 SILVER LAKE ROAD <br /> 140! W. 76TH STREET SUITE 520 <br /> ST. ANTHON:;r ,, !11d. 55419 MINNEAPOLIS, MN. 55423 <br /> 612 861 -8594 <br /> P R E M I U M 1 N U 0 I C E <br /> SPECIA_ MULTI <br /> REr�E!a�,L <br /> Y -• + DUE 09/05,'89 :• - + <br /> TOTAL '=+.MOU"NT DUE $40,Oz_ <br /> IST.ALLNEN. Ar1OLNT $13,340.25 <br /> PREYsOUP BALAINCE 0.00 <br /> M I NI HUM AMOUNT T DUE $13,340.25 <br /> PLEASE CONTACT YOUR AGENT FOR E=APLHMATION OF CHARGES <br /> C MC 0010121 09 0000691 . U DRIE DUE + <br /> CITY OF ST ANTHONY <br /> Invoice # 301368 <br /> PLEASE REMIT WITH PAYMENT TO: <br /> TOTAL AMOUNT DUE $40,020.75 <br /> C/O NORTH STAR RISK SERVICES MINIMUM DUE $13,340.25 <br /> 1401 W. 76TH STREET #550 ( INCL SVC CHG IF ANY) <br /> MINNEAPOLIS, MN. 55423 <br /> AMOUNT PAID <br /> INSURED ..: <br /> CITY OF ST ANTHONY <br /> III 1 3301 SILVER LAKE ROAD <br /> 10i"'� <br /> ST. ANTHONY, MN. 55418 <br />