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<br />/~.\. FA.RM E R.S <br />~~Mffo' ~~fi~V@. <br /> <br />04/25/2007 <br /> <br />Payment Log <br /> <br />Account Number: <br />Date of Loss: <br />Insured <br /> <br />Claim Number <br />Loss Type <br /> <br />Proof of Payment <br /> <br />Date <br />Payee: <br /> <br />Payment Description: <br />Payment <br /> <br />National Document Center <br />P.O. Box 268992 <br />Oklahoma City, OK 73126-8992 <br />claimsdocument@farmersinsurance.com <br />Fax: 877-217-1389 <br /> <br />AAA886430 <br />04/15/2007 <br />Ms. Shirley Pelzer <br /> <br />099 SUB 1010003492-1-2, 099 BLDG 1010003492-1-1 <br /> <br />04/25/2007 <br /> <br />SHIRLEY PELZER <br />2650 PASCAL ST <br />ROSEVILLE, MN, 55113 <br />Building <br />$2,500.00 <br /> <br />Sub Total: <br />Deductible Amount: <br />Salvage <br /> <br />Total Amount: <br /> <br />$2,500.00 <br />$0.00 <br />$0.00 <br />$2,500.00 <br />