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Jimmie Matthews Co-Insured Name Address 8901 Vantage Point Dr Named Insured: Jimmie Matthews Expiration Date/Time: 06/14/2012 at 12:01 a.m. Producer # Name 214-675-9084 jmalerts yahoo.com Drv # Name 2555 Inwood Rd, Ste 247 Dallas TX 75235 214-351-4097 Birth Date Drv License # Status License # License State Gender Marital Status Relation to Social Insured Security First Licensed 03/02/1973 1 Jimmie Matthews 15714020 TX Male Never marr Applicant 12/1989 Driver Status SR Req.

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