s/9032948145

SEAHARBOR INSURANCE AGENCY LLC

P.O. Box 630308
Monthly Installment
Irving, TX 75063 Invoice
(877) 220-6130 9032948145

Company SEAHARBOR INSURANCE AGENCY LLC

Policy No. SH726736
RANDALL JUSTIN CLAGG Insured Name RANDALL JUSTIN CLAGG
3301 N FM 1417 APT 413
SHERMAN, TX 75092-3443 Account Balance $0.00
Amount Due $88.34
Balance Remaining $88.34
Pay Off Amount $172.67

Policy Number Effective Dates Payment Due Date Payment Amount Due *Late Payment Amount
SH726736 02/19/2024 thru 08/19/2024 6/10/2024 $88.34 $98.34*
*LATE PAYMENT - A payment postmarked or processed after the due date will be considered late and the late fee will apply.

If paid in full, the amount due is $172.67.

There will be a $30.00 NSF Fee charged on all returned checks
Failure to make your payment will required a new down after the cancellation date.
If the driver(s) or vehicle(s) listed below have changed, please contact your Agent immediately.
Vehicles: 2012 SUZUKI SX4 CROSSOVER (US)/CROSSOVER PREMIU JS2YC5A34C6301863

Drivers: RANDALL JUSTIN CLAGG

JAYCEE MICHELLE MOORE

** This is not a DECLARATIONS PAGE. If you have any questions regarding your policy, please contact your agent. **
Cut Along The Dotted Line
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Detach and Return This Portion With Your Payment

Insured Name RANDALL JUSTIN CLAGG Policy Number SH726736

Address 3301 N FM 1417 APT 413 Payment Due Date 6/10/2024
SHERMAN, TX 75092-3443 Payment Due Amount $88.34
Phone Check Number _____________
Check Amount $ _____________
Agent: A-Max Auto Insurance - Texoma Pkwy
1725 Texoma Pkwy Make Payment To:
Sherman, TX 75090
(903) 598-4160
SEAHARBOR INSURANCE AGENCY LLC
P.O. Box 630308
Irving, TX 75063

To make an online payment, please visit: seaharborinsurance.com