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EXPIRATION DATE: IA-706083 LICENSE NUMBER: December 31, 2026 FORT ORANGE CLAIM SERVICE INC
FORT ORANGE CLAIM SERVICE INC PO Box 447 CLIFTON PARK, NY 12065
SUBLICENSEE(S) CONTINUED
LINE KEY 1 = Accident & Health 5 = Fidelity & Surety 7 = Inland Marine 3 = Automobile
2 = Aviation 4 = Casualty
6 = Fire
8 = General 9 = Auto Damage & Theft Appraisals 10 = Motor Vehicle No-Fault & Workers Comp Health Service Charges 11 = Federal Multi-Peril Crop
SUBLICENSEE(S)
CIURCZAK, STEPHEN G
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