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300807 <br /> LEAGUE OF MINNESOTA CITIES INSURANCE TRUST <br /> :LLLIII72:251 <br /> c/o North Star Risk Services, Inc. <br /> � 1401 West 76th Street, Suite 550 <br /> Minneapolis, MN 55423 <br /> U (612) 861-8600 DATE <br /> WANT NUMBER FROM COVERAGE PERIOD To COVERAGE PROVIDED BY AGENCY .. PAGE <br /> C-9 ��E%Olifiec I i:6 01 'may L_M.C . I .T. 0000090 <br /> COVERED PARTY AND ADDRESS - AGENT. :; <br /> .: . <br /> C' . ANHONY HEALTH RESOURCES'INS-. AGENCY ' <br /> ?CIZ SILLIER LAKE ROAD <br /> 1401 W. 76TH STREET 0 550 <br /> r ri�v T HOMY, MN 55418 MINNEAPOLIS, MIN. 55423 <br /> 612 861-8593 <br /> P R E M I U M I N V O I C E <br /> SPECIAL MULTI—PERIL <br /> ENDORSEMENT <br /> • + DUE 06,,26,-89 <br /> 1U_+�vT DUE $i ,389.00 <br /> —_ . DUE PFEP14ID 0.00 <br /> _:T�L 40"OLINT DUE �7 389.1 0 <br /> 2 <br /> �,�,� ate►`'"" . <br /> P—L <br /> EA E JN:', ACT `,'OUR AGENT FOR EXPLANATION OF CHARGES <br /> C_lE:3335 <br /> 09 0000090 O D DATE DUE 06/4- <br /> =T. �=iNTHONY - Invoice # 300807 <br /> PLER-SE P,EM i T i4I T H PAYMENT TO: <br /> L.M.C.I.T. TOTAL BALANCE $1 ,389.00 <br /> C%0 NORTH STAR RISK SERVICES MINIMUM DUE $1 ,389.00 <br /> 1401 W. 76TH STREET #550 (INCL SVC CHG IF ANY) <br /> MINNEAPOLIS, MN. 55423 <br /> AMOUNT PAID <br /> • <br /> i r!SURED <br /> ST. ANTHONY <br /> III 1 3301 SILVER LAKE ROAD <br /> un III <br /> ST. ANTHONY, MN 55418 <br />