May 25, 2016 EDWARD G & SALLY L MALISKI REFERENCE POLICY ...

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May 25, 2016

EDWARD G & SALLY L MALISKI 3576 PASEO DE INVIERNO THOUSAND OAKS CA 91360-7109

REFERENCE POLICY NUMBER 298 9342-F27-75A

Dear Policyholder: We have received your request for verification of insurance and loss information on Sally Maliski. Our records reflect that State Farm provided automobile insurance coverage from 08-03-99 through Current. This letter is to provide general information about activity on the above referenced household. This letter does not imply continuous coverage nor is it a guarantee that you were covered by this policy for the dates indicated. Our records reflect that there were no negligent claims submitted during the past six years. If you need any further information, please contact this office or your State Farm Agent. Sincerely,

Underwriting Department State Farm Mutual Insurance Company cc:

Joe Davidheiser, 145875

Providing Insurance and Financial Services

Ph. (805) 496-4508

Home Office, Bloomington, IL

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