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North Carolina's Department of Insurance Investigation File:  Shenandoah Life


4Policy Information

4Kimble File

4Payment of Benefits

PDF


4Policy Information

 

North Carolina. Department of Insurance
INVESTIGATIONS DIVISION
 

Insurance Policy Information
Theodore Mead Kimble and Patricia Gail Blakley Kimble

 

Insured Patricia Gail Blakley
Insurer: Shenandoah Life

Policy # 030004500
Beneficiary: Sheila E. Blakley (mother of Patricia Gail Blakley)
Policy data: Life insurance policy issued through Patricia Blakley's employer. Claim # 0224981 paid to beneficiary on 10/01/96 in the amount of $25,980.82 (face amount plus interest on delayed settlement).


4Kimble File

 

Kimble File
Insurer  Shenandoah Life

Insured  Patricia Blakley Life policy issued through employment.

Information  Claim paid 10/1/96 to Sheila Blakley (Mother) in amount of $25,980.82


4Payment of Benefits

 

SHENANDOAH LIFE
INSURANCE COMPANY
 

OCTOBER 01, 1996
 

PRESIDENT
CINNAMON RIDGE APARTME

18 SAILS WAY DRIVE

GREENSBORO NC 27406
 

INSURED: PATRICIA GAIL BLAKLEY

GROUP POLICY: 030004500
CLAIM NUMBER: 0224981

CHECK NUMBER: 7000003
 

PROCEEDS OF THIS POLICY ARE PAYABLE AS FOLLOWS:
FACE AMOUNT OF INSURANCE $25,000.00
TAXABLE INTEREST ON DELAYED SETTLEMENT 980.82
AMOUNT OF CHECK *25,980.82
 

ENCLOSED IS OUR CHECK IN PAYMENT OF BENEFITS DUE:
 

SHEILA E BLAKLEY

595 WOODOAK TRAIL

RANDLEMAN NC 27317
----------------------------------------------

SHENANDOAH LIFE
INSURANCE COMPANY
7000003        10-01-96
DEATH PROCEEDS-CERT NO. 241354789              89001                  25,980.82
POLICY #: 030004500               AGENT/AGENCY #:

FORWARD TO DP/DSK 89001
 

PLEASE DETACH THIS VOUCHER FROM CHECK BEFORE PRESENTING FOR PAYMENT


 

 

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Published August 15, 2006.  Report broken links or other problems.

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