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EFTA00621840
Policy Number MT 02340912 - A Named Insured LEON BLACK DEBRA BLACK 190 THE NARROWS BEDFORD HILLS NY 10507 Effective Date 04/20/2013 Company The American Insurance Company Your Agent Is WELLS FARGO INS SVCS USA INC 330 MADISON AVE 7TH FL NEW YORK NY 10017 31-576-750 (09) (800)982-2125 Policy Period Your policy b
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