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LEAGUE NN CITIES INS TRUST <br />C/0 BERKLEY RISK SERVICES, LLC <br />920 2ND AVE. SOUTH. SUITE 700 <br />MINNEAPOLIS NN 5S402-4023 <br />612-376-4200 FAX:612-376-4281 <br />PRBOUN NOTICE <br />Involct D«t«: 12/02/02 <br />Due Date: 12/31/02 <br />Bill To <br />LONG LAKE. CITY OF <br />P.O. BOX 606 <br />LONG LAKE MN 55356 <br />Asoiit 00S36 <br />A. i). GALLAGHER OF MN, INC <br />7825 WASHINGTON AVE S STE 300 <br />MINNEAPOLIS MN 55439-2433 <br />Type of Coverege: MUNICIPALITY <br />Covenant Nuober: CMC 22562 <br />Covered Party: LONG LAKE, CITY OF <br />Coverage Period: 1/01/02 To 1/01/03 <br />PayMOt Plan Selected: ANNUAL PAY PLAN <br />PUgPATE BMUKT-WE BO.DATE DESCRIPTIOM <br />12/31/02 813.00 04/22/02 addiuildbisaisK <br />ToUl:1813.00 <br />Paypanf/Adju steent <br />Applied: $318.00 <br />Total:$495.00 <br />Pi ft C-cn^tnjc'h'^n ca€As <br />PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO <br />LEAGUE MN CITIES INS TRUST <br />C/O BERKLEY RISK SERVICES, LLC <br />920 2ND AVE. SOUTH. SUITE 700 <br />MINNEAPOLIS NN 55402-4023 <br />612-376-4200 FAX:612-376-4281 <br />INVOICE #: 11618 <br />Type of Coverage: MUNICIPALITY <br />Covenant Nunber: CMC 22562 <br />Covered Party:LONG LAKE. CITY OF <br />Coverage Period: 1/01/02 To 1/01/03 <br />DUE DATE <br />UNPAID BALANCE <br />AMOUNT DUE <br />12/31/02 <br />495.00 <br />495.00 <br />iOO/lOO'4 fCSOi ix\n oMoa io aizo ZZ96 9Lt Ztt 4i:et 2002i0T*dla <br />4