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Get Canada S.A.F. 1 - Alberta 2022-2024

Each described automobile is and will be chiefly used in the vicinity of the applicant s address above unless otherwise stated in the Remarks section. From: Date (Y/M/D) Time: To: 12:01 a.m. on: Date (Y/M/D) a.m Policy Period - All times are local times at the applicant s p.m. postal address. Particulars of the Described Automobile(s) ITEM INSURANCE COMPANY (INSURER): 1. Applicant(s) Full Name(s) and Postal Address: 3. Veh. No. Model Year Trade Name 1. 2. Veh. No. 1. 2. Mode.

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