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riders, applications or annuity forms, per form...$50.00. (7 forms x $50 = 350.00) Per Company: No COMPANY AMOUNT DATE PROCESSED TRANSACTION # Continental American Insurance Company $350.00 11/11/2010 41802840 PDF Pipeline for SERFF Tracking Number CAIC-126901711 Generated 11/16/2010 03:16 PM SERFF Tracking Number: CAIC-126901711 State: Arkansas Filing Company: Continental American Insurance Company State Tracking Number: 47298 Company Tracking Number: 8069 TOI: L07G Gro.

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