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Christened General Agency, Inc. P.O. Box 3747 Shawnee Mission, KS 66203 Phone: (913) 6311232 (800) 5480491 Facsimile: (913) 6311128 (800) 3831235 BROKERAGE FEE AGREEMENT THE UNDERSIGNED INSURED HEREBY
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chris leef INSURER NEGOTIATNG KS Shawnee UNDERSIGNED PROCURING REIMBURSEMENT UNDERWRITING Facsimile ENGAGES INCEPTION BROKERAGE OBTAINING SECURING PROPOSALS PREMIUM PLACEMENT

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