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Affidavit, Theodore Kimble regarding receipt of Insurance documents


 

AFFIDAVIT


I, Theodore Kimble, having been duly sworn says:

1. I have received a copy of all documents and correspondence contained in my file from R. Steve Bowden & Associates;
 

2. Said items include, but are not limited to, the originals of the following documents:

a. Life insurance policy from Southland Life Insurance Co. issued to Patricia G. Blakely;
b. Statement of Policy Cost and Benefit Information from Life of Georgia prepared for Patricia G. Kimble;
c. Check from Life of Georgia payable to the order of Theodore Kimble in the amount of $240.25;
d. Conditional Receipt No. 1082834 from Life of Georgia dated 9/6/95;
e. Handwritten "receipt" from Bill Jarrell, Life of Georgia, dated 9/13/95 and 9/14/95.
 

/signature/

Theodore Kimble, Affiant

 

Subscribed to and sworn before me on this the 19TH day of December, 1995.
 

/signature/

Notary Public
 

My commision expires: 3/24/96
 

R. STEVE BOWDEN & ASSOCIATES
ATTORNEYS AT LAW


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

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