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' ** ADDITIONAL IN�URED'S COPY "* <br /> i FEDERATED MUTUAL INSURANCE COMPANY <br /> . P.O. Box 328 <br /> CST 410 Owatonna, MN 55060 <br /> Additional Insured Insured <br /> CITY OF DECATUR 209-629-5 TOMMY HOUSE TIRE COMPANY INC <br /> ��1 CIVIC CENTER PLAZA 340 E MACON ST <br /> DECATUR IL 62523 DECATUR IL 62521 <br /> CANCELLATION NOTICE <br /> CANCELLATION of each policy listed below was requested by the insured. <br /> We will continue to protect your interest as a mortgagee,certificateholder,additional insured,or loss payee <br /> through the date and time of day shown below. <br /> Policy Time of <br /> Policy Cancellation Policy <br /> Number Coverage Date Cancellation* <br /> 9134119 COMMERCIAL PACKAGE POLICY 01/27/97 12:01 a.m. <br /> 9134120 UMBRELLA 01/27/97 12:01 a.m. <br /> � Standard tlme at the deslgnated business premises. <br /> Thls Notice was mailed on March 10, 1997. <br /> DECATUR, 1LtIr��'� <br /> ��iA� 1 8 1997 <br /> w��o ws�c �c�. <br /> MF0.40(11-92 C) <br />