Nov BIl PGR

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Form_SCTNID_CTGRY.

XX07086266_BILL

PROGRESSIVE
159294600 B 7F60114 INS BILL U POLWHITEFONT ANBWD7EAJYZMUF67KW6AE5XCJD0001 RPUID TRACWHITEFONT

P.O. BOX 6807


CLEVELAND, OH 44101

KENNETH SMITH
Policy Number: 15929460-0
KENNETH SMITH Underwritten by:
229 COUNTRY CLUB RD Progressive Michigan Ins Company
HOLLAND, MI 49423 Date of Mailing: November 29, 2017
Policy Period: Sep 12, 2017 - Sep 12, 2018
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Online Service
progressiveagent.com
Customer Service
1-800-876-5581

Motorcycle Insurance Bill


…………………………………………………………………………………...
Remaining balance $100.60
…………………………………………………………………………………...
Payments remaining 2
…………………………………………………………………………………...
Minimum amount due $40.20
…………………………………………………………………………………...
Due date December 15, 2017
To maintain your coverage, please pay the minimum amount due by the
due date. Any amount you pay above your minimum will be credited to
your next payment.
If you've scheduled a payment, it is not reflected in the amount due.

Billing detail for October 30, 2017 - November 29, 2017


Payment on November 26 - thank you ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥-$35.20
Current amount ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥$3.00
Late fee ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥5.00
Policy premium fees ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥27.20
Installment fee ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥5.00
Minimum amount due ¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥¥$40.20
Payments received after November 29 will appear on your next statement.

Please see the reverse side.


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Policy Number: 15929460-0
Payment Coupon KENNETH SMITH
For immediate payment, please go to
…………………………………………………………………………………...
Remaining balance $100.60 progressiveagent.com or call
…………………………………………………………………………………... 1-800-876-5581.
Minimum amount due $40.20
…………………………………………………………………………………... If you pay by check, please allow five to
Due date December 15, 2017
…………………………………………………………………………………... seven days for your payment to reach us.
Amount enclosed $
…………………………………………………………………………………...
Write your policy number on the check and
make it payable to Progressive Michigan Ins
Company.
FFAADFTDTTDTFDADFDFADADFFDAFFAFFFFDTTTDATADATAFATFTATATTFFTFFTDDT
PROGRESSIVE
PO BOX 7247-0112
PHILADELPHIA PA 19170-0112 Do not write below this section of coupon.
7F-60114 Form 6266 (07/08)

011215929460 21432 0004020 0010060 5000586 2080727 000009121708


159294600 B 7F60114 INS BILL U POLWHITEFONT ANBWD7EAJYZMUF67KW6AE5XCJD0001 RPUID TRACWHITEFONT

Policy Number: 15929460-0


KENNETH SMITH
Page 2 of 2
To receive billing reminders, payment confirmations, and more, visit progressiveagent.com. After you log in, click
"Manage Your Policy" and select "E-mail Preferences." Please know that we won't share your e-mail address with other
companies for their marketing purposes without your consent.

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