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Insurance contract - Komerční pojišťovna

Insurance name Vital Premium

Insurance contract No. 12367890

Validity 3. 4. 2011 – 12. 12. 2014

Policyholder Koudelka František,
nar. 15. 6. 1970

The insured Koudelka František,
nar. 15. 6. 1970

Appointed person Hujer Viktor – share 100,00 %

Guaranteed appreciation for the current year 1,00 %

Payment frequency Jednorázová

Prescribed premium 500,00 CZK

Contract value
(technical reserve)
800 000,00 CZK

Information displayed effective as of 2. 3. 2010

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