Page 88 - Book1E
P. 88
Payee: ______________________________________________ Account/Policy Number: _______________________________ Account Holder: ______________________________________ Contact Person: ______________________________________ Phone: _____________________________________________ Payment Address: _____________________________________ PaymentAmount: ____________________________________ Due Date(s): ________________________________________ Date of Final Payment: ________________________________
Payee: ______________________________________________ Account/Policy Number: _______________________________ Account Holder: ______________________________________ Contact Person: ______________________________________ Phone: _____________________________________________ Payment Address: _____________________________________ PaymentAmount: ____________________________________ Due Date(s): ________________________________________ Date of Final Payment: ________________________________
80 Preparing for Natural Disasters and Other Emergencies