Paid $10.00 on receipt 1081321, Fully Paid

On December 27, 2019 an insurance claim case was filed by Smith, Lewis, and Smith, Suzanne, against American Strategic Insurance Corp, and Ark Royal Insurance Company, in the jurisdiction of Collier County. Judge Unassigned Judge presiding.

                        
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RECEIPT CRYSTAL K. KINZEL 41081321 CLERK OF THE CIRCUIT COURT AND Printed On: COMPTROLLER COLLIER COUNTY, FLORIDA 01/02/2020 01:08 Page 1 of 1 Receipt Number: 1081321 - Date 01/02/2020 Time 1:08PM Received of: Daniel A. Alvarez Cashier Name: efiling account Balance Owed: Cashier Location: [E-Filing Total Amount Paid: Receipt ID: 2078789 Remaining Balance: Division: Case# 11-2019-CA-005029-0001-XX -- Plaintiff: Smith, Lewis [Balance | Paid | Bal Remaining Fees 10.00 10.00 0.00 Case Total 10.00 10.00 0.00 [type S—C*dSSS~CSRehSSC*dSCSCS*~*~*~S nt EFILING 26822095 10.00 Total Received 10.00 Total Paid 10.00

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