BillNotice
Installment Premium Due
P.O. Box 9
DeSmet, SD 57231
Customer Service: 1-605-854-3337
Policy Number: PA0037004 Policy Effective Date: 08/01/2024 Policy Expiration Date: 02/01/2025 12:01 A.M.
Process Date: 10/30/2024 Standard Time
Named Insured & Mailing Address: Agency: 968
Hope Webb Home Office #1
507 N 2ND AVE 120 Calumet Ave
WOONSOCKET, SD 57385 PO Box 9
Phone Number: (605)999-8531 De Smet, SD 57231
Phone Number: (605)854-3337
Email: [Link]@[Link]
Dear Policyholder:
The installment payment on your auto insurance policy is due on 12/02/2024. To continue insurance
protection under this policy and avoid any lapse of coverage, the installment premium below must
be received by the company on or before the due date.
Installment Premium Due: $163.61*
* Includes a $8.00 Installment Fee
If payment is not received by the due date a $15.00 late fee will be added and an Intent to Cancel will be issued.
Receipt of uncollectible funds constitutes nonpayment of premium. Our charge for a dishonored payment is $25.00.
Keep the top portion of this statement for your records.
IMPORTANT: Pay online at [Link] or detach and return the notice below, along with
your payment, in the envelope provided. Please be sure to include your policy number on your check.
Pay online at [Link]
or send check payable to De Smet Insurance Company in US dollars.
Installment Amount Payment
Policy Number Due Enclosed Due Date
PA0037004 $163.61 12/02/2024
Invoice Number
02240047513 Please write your policy number on your check
Do Not Send Cash.
BILL-IN 10/30/2024
HOPE WEBB DE SMET INSURANCE COMPANY
507 N 2ND AVE P.O. Box 9
WOONSOCKET SD 57385 DE SMET SD 57231
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PA0037004020100000000020001636104000000000000000000120220241118