HomeMy WebLinkAboutstate comp insIN REPLY REFER TO:
APRIL 30, 2012 8~~
MAY~p~
COUNTY OF BUTTE
BOARD OF SUPERVISORS
25 COUNTY CENTER DR
OROVILLE CA 95965-3316
CERTIFICATE OF WORKERS'
COMPENSATION INSURANCE
CANCELLATION NOTICE
RE: CERTIFICATE DATED APRIL 13, 2012
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW WILL BE CANCELLED EFFECTIVE JUNE 5, 2012 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
TRUE NG~RTH CONSTRUCTORS
5812 GREEN ACRES DR
ANDERSON, CA 36007
POLICY 436w0001091-11
CUSTOMER SERVICES UNIT
REDDING DISTRICT OFFICE
(530) 223-7000
f ~ ~~ `~~ Owens Dr Pleasanton, CA 94588-390Q
G i ailing Address: P.O. Box 8 i 92 • Pleasanton, cA 94S$$-96$2
5GlF 14102