| File | Classified as | Size | Modified | OCR | Links |
|---|---|---|---|---|---|
blob:https:::courtrecords.lakecountyclerk.org:eb24d171-dfcc-4441-bd13-653c30b2fa31.pdfGary J. Cooney
Clerk of the Circuit Court and Comptroller
550 West Main Street, Post Office Box 7800
Tavares, Florida 32778-7800
(352) 742-4100 www.lakecountyclerk.org
CERTIFICATE OF DISCHARGE OF BOND
Send to:
ALTMAN BAIL BONDS
P.O. BOX 1132
TAVARES, FL 32778
Case Number
Power Number
35-2024-CF-0004…
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Certificate of Discharge | 70 KB | 2025-10-05 14:40:26 | no | Dropbox · History |
Sheppard, Cody James IND ID .jpgFlorida
USA
DRIVEN
wwQ535-800
IQUBITANA
ARRIY
TERESAS
INESTATI
89642 TAORMINA
MAYA
CLERMONT, FL 347 4 9126
3/ров 03/20/1959 15sE0
4b EXP
03/20/2027
16HST 5-03"
12 REST NONE?
gaSEND NONE
NSH
SAFE DRIVER
4a ISS
10/22/2018
5DD X632112171212
ABRIDALY
REPLACED
2/17/20215
Operation of a motor vehicle cons…
[show full stored text] |
Image (unclassified) | 2.8 MB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Special Conditions copy.pdfBAIL BOND INFORMATION & SPECIAL CONDITIONS - DEFENDANT
ALLEGHENY CASUALTY COMPANY
P.O. Box 9810, CALABASAS, CA 91372-9810
TELEPHONE (800) 935-2245
BAIL 2 GO
P.O. Box 592643, ORLANDO, FL 32859-2643
TELEPHONE (407) 245-5554
Torres, Edwin
Defendant:
Address:
Power No (s):
Conditions of Bond:
Phone:_
76…
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Unclassified | 579.3 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Special Conditions FLAT.pdfBAIL BOND INFORMATION & SPECIAL CONDITIONS - DEFENDANT
ALLEGHENY CASUALTY COMPANY
P.O. Box 9810, CALABASAS, CA 91372-9810
TELEPHONE (800) 935-2245
BAIL 2 GO
P.O. Box 592643, ORLANDO, FL 32859-2643
TELEPHONE (407) 245-5554
Torres, Edwin
Defendant:
Address:
Power No (s):
Conditions of Bond:
Phone:_
76…
[show full stored text] |
Unclassified | 158 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Credit Card Authorization Form copy 2.pdfCredit Card Authorization form
CO
Teresa Quintana
, give permission to Axiom Surety Corp dba Bail 2 GO to charge
Indemnitor
my card for the following transaction(s). My card details will be stored under my Bail 2 GO
profile and will only be used for approved transaction(s) and incurred expenses.
$25…
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Unclassified | 517.1 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Credit Card Authorization Form FLAT.pdfCredit Card Authorization form
CO
Teresa Quintana
, give permission to Axiom Surety Corp dba Bail 2 GO to charge
Indemnitor
my card for the following transaction(s). My card details will be stored under my Bail 2 GO
profile and will only be used for approved transaction(s) and incurred expenses.
$25…
[show full stored text] |
Unclassified | 248.7 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Defendant EDP copy.pdfBAIL BOND APPLICATION - DEFENDANT
COMPANY
ALLEGHENY CASUALTY COMPANY
P.O. Box 9810, CALABASAS, CA 91372-9810
TELEPHONE (800) 935-2245
BAIL 2 GO
P.O. Box 592643, ORLANDO, FL 32859-2643
TELEPHONE (407) 245-5554
1. Name Edwin Torres
First
Middle
Last
My friendstfamily know me as Edwin
2. Residence Addr…
[show full stored text] |
Defendant app (digital) | 146.2 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin EDP Completion Checklist copy.pdfDate: 02/26/2024
EDP Completion Checklist
CO
Defendants Name: Torres, Edwin
Total Liability: 2500
Was Court Date Given:
Yes
V No
Was Def. given check in dates:
Yes
No O
Was file prepped for Def. Paperwork (Special Conditions, Application, BEDP): Yes No L
Bond Author : KG
Def. Aware of court date(s)?…
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Unclassified | 178.9 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin File Checklist copy.pdfCompleted File CheckList
Folder Named Properly - (Last-Name, First - 10/19/22 - NZ)
All Files are named correctly in Folder, - (Doe, John - Booking report etc....)
Booking Sheet
Mugshot (Current or Previous)
TLO's for all parties involved
Clerk Search for "ALL" Relevant Counties
State ID's for all s…
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Unclassified | 360.3 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Ind EP copy.pdfBAIL BOND APPLICATION - INDEMNITOR
COMPANY
ALLEGHENY CASUALTY COMPANY
P.O. Box 9810, CALABASAS, CA 91372-9810
TELEPHONE (800) 935-2245
BAIL 2 GO
P.O. Box 592643, ORLANDO, FL 32859-2643
TELEPHONE (407) 254-5554
1. Name _
Teresa Quintana
First
Middle
Last
My friends/family know me as
Teresa
2. Residen…
[show full stored text] |
Indemnitor app (digital) | 419.6 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Ind EP FLAT.pdfBAIL BOND APPLICATION - INDEMNITOR
COMPANY
ALLEGHENY CASUALTY COMPANY
P.O. Box 9810, CALABASAS, CA 91372-9810
TELEPHONE (800) 935-2245
BAIL 2 GO
P.O. Box 592643, ORLANDO, FL 32859-2643
TELEPHONE (407) 254-5554
1. Name _
Teresa Quintana
First
Middle
Last
My friends/family know me as
Teresa
2. Residen…
[show full stored text] |
Indemnitor app (digital) | 150.2 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin TLOxp - Advanced.pdfTLOxp - Advanced
https://tloxp.tlo.com/search.php
Your Current Reference ID: NONE
1 Result Found for people named EDWIN TORRES born on 02/14/1964 in the United
States.
EDWIN E TORRES, 60 Years Old (Florida, New Jersey, Texas)
EDWIN E TORRES (09/01/1992 to
Possible Relatives
Cities
Counties
01/03/202…
[show full stored text] |
Unclassified | 145.8 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin “7642 Taormina Way”.pdf7642 Taormina Way
near Clermont
SHAW RD
NOT.
Page 1 of 1
Printed from my Mac
7642 Taormina Way
7642 Taormina Way
N BRADSHAW RD
OLYMPUS BLI
NOTO AVE
Baked With
Flavor
27
N BRADSHAW RD
250
500
750 75 0t
[show full stored text] |
Unclassified | 190.8 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin EDPBV FLAT.pdfallegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
THIS IS A 4-PAGE, DOUBLE SIDED DOCUMENT
READ CAREFULLY AND COMPLETE
BAIL BOND APPLICATION - DEFENDANT
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:
B…
[show full stored text] |
Defendant app (digital) | 616.2 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin EDPBV.pdfallegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
THIS IS A 4-PAGE, DOUBLE SIDED DOCUMENT
READ CAREFULLY AND COMPLETE
BAIL BOND APPLICATION - DEFENDANT
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:
Bail 2 GO - Orlando
P.O. Box 592643, Orlando, FL 32859
(407) 254-5554
Defendant Name
Edwin Torres
Home Phone Number
My friends/ family know me as
Cell Phone Number
Work Phone Number
(201) 306-0366
Current Full Address, City, State and Zip
7642 Taormina Way, Clermint, FL 34714
From
To
Landlord Name (if applicable)
Email
• Own
• Rent
Landlord Phone Number
Former Full Address, City, State and Zip
To
Landlord Name (if applicable)
• Own
• Rent
Landlord Phone Number
Birth Date
02/14/1964
Weight
Birth Place
Social Security Number
137-64-3298
Eye Color
Tattoos / Piercings
Hair Color
Glasses
Facial Hair
Scars / Distinguishing Marks
Medical Conditions / Disabilities
Years in City Years in State Former City
Driver's License / ID Number
T620200640540
Former State U.S. citizen?
Alien Number
•Yes •No
State Issued
FL
How long in US?
Arrest Date
Booking Name (if different)
Booking Number
154400
Arresting Agency
Court Name
5th Judicial Circuit Court-Lake County
Case Number
Judicial District
Jail Location
Lake Co. Sheriff's Office Det. Ctr.
County
Lake
Appearance Date
03/18/2024
State
FL
Time
8:30 AM
Charges
BATTERY ON A PERSON 65 OR OLDER
E provous Ares Changes
I provides area Chaos.
Probation / Parole Officer Name
Arrest date
Arrest Location
Arrest date
Arrest Location
Phone Number
Pending Charges in Other Counties
Bonded before by
On parole/probation? Currently on bond? Previously failed to appear?
• Yes • No
• Yes • No
• Yes •I No
When
Co-Defendant Name
Co-Defendant Phone Number
Form# ACC.0301 (11/22)
Page 1 of 4
Current Employer
Position
Supervisor's Name
Former Employer
a roman Enter superior trem
Position
Union
Military Branch
• Single
Significant Other Name
• Married
Cohabitating
Significant Other Current Full Address, City, State and Zip
Home Phone Number
Cell Phone Number
Significant Other Mother Name
A same one are me
Former Significant Other Name
Former Significant Other Current Full Address, City, State and Zip
Home Phone Number
Cell Phone Number
Facebook Username
Twitter Username
Linkedin Username
i Password
Password
Password
Year
Make
Model
Color
Insurance Company / Agent
Financial Institution
• Separated
DOB
DOB
Form# ACC.0301 (11/22)
Page 2 of 4
Phone Number
Phone Number
Local Number
Active
• Yes • No
• Divorced
DOB
Email
Social Security Number
Phone Number
Phone Number
DOB
Email
Social Security Number
Other Account
Password
Plate Number
Balance owed
Phone Number
Phone number
Average Balance
How Long
How Long
Discharge Date
• Widowed
Years together
Years together
Username
State
• Savings
• Checking
Reference Name
Full Address, City, State and Zip
Reference Name
Full Address, City, State and Zip
Reference Name
Full Address, City, State and Zip
Reference Name
Full Address, City, State and Zip
Reference Name
Full Address, City, State and Zip
DOB
Cell Phone Number
DOB
Cell Phone Number
DOB
Cell Phone Number
DOB
Cell Phone Number
DOB
Cell Phone Number
Relationship to Defendant
Work Phone Number
Relationship to Defendant
Work Phone Number
Relationship to Defendant
Work Phone Number
Relationship to Defendant
Work Phone Number
Relationship to Defendant
Work Phone Number
I hereby represent that the foregoing information is true, complete and correct and is made for the purpose of inducing
Allegheny Casualty Company to issue, or cause to be issued, bail bond(s) for the defendant referred to herein.
Signed, sealed and delivered this
Defendant Signature
Editous
Authorized
Defendant Print Name
Edwin Torres
Driver's License Number
T620200640540
Social Security Number
137-64-3298
Birth Date
02/14/1964
SEE NEXT PAGE FOR APPLICABLE FRAUD WARNINGS.
Form# ACC.0301 (11/22)
Page 3 of 4
IMPORTANT
FRAUD
WARNIN
IGS
ALABAMA RESIDENTS
Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly
presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or
confinement in prison, or any combination thereof.
ARKANSAS RESIDENTS
Any person who knowingly presents a false or fraudulent claim for payment for a loss or benefit or knowingly presents
false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in
prison.
CALIFORNIA RESIDENTS
For your protection California law requires the following to appear on this form: Any person who knowingly presents
false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in
state prison.
FLORIDA RESIDENTS
Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an
application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.
LOUISIANA AND MAINE RESIDENTS
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of
defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.
MARYLAND RESIDENTS: Any person who knowingly or willfully presents a false or fraudulent claim for payment of a
loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime
and may be subject to fines and confinement in prison.
NEW JERSEY RESIDENTS
Any person who includes any false or misleading information on an application for an insurance policy is subject to
criminal and civil penalties.
NEW MEXICO RESIDENTS
Any person who knowingly presents a false or fraudulent claim for payment or a loss or benefit or knowingly presents
false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal
penalties.
Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading
information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be
subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.
OHIO RESIDENTS
Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an applicatior
or files a claim containing a false or deceptive statement is guilty of insurance fraud
OKLAHOMA RESIDENTS
WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the
proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony
PENNSYLVANIA RESIDENTS
RHODE ISLAND, TENNESSEE, VIRGINIA, WASHINGTON, AND WEST VIRGINIA RESIDENTS
desauding te company. Penalies se, y include in prisonmen, fines or a denial of insurance cemeasy for the purpose of
Form# ACC.0301 (11/22)
Page 4 of 4
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
THIS IS A DOUBLE SIDED DOCUMENT
READ ALL SIDES CAREFULLY
BAIL BOND AGREEMENT (" Agreement")
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:
Bail 2 GO - Orlando
P.O. Box 592643, Orlando, FL 32859
(407) 254-5554
Agreement
Details
In consideration of Allegheny Casualty Company ("Surety"), through Surety's duly appointed independent bail producer
("Bail Producer"), (Surety and Bail Producer are sometimes together referred to as "Surety"), issuing, or causing to be
issued, a criminal appearance bail bond described as:
Date
Defendant Name
02/27/2024
Edwin Torres
Indemnitor Name(s)
Teresa Quintana, Edwin Torres
Total Bond Amount $
2,500.00
Total Premium $
250.00
Power Numbers)
N/A
("Bond")
I/we represent and warrant that I/we have read, approve and agree to all of the terms and conditions found on following
pages (front and back).
Signed, sealed and delivered this
Defendant Signature
Editors
Indemnitor Signature
Print Name
Edwin Torres
Print Name
Indemnitor Signature
Indemnitor Signature
Print Name
Print Name
Indemnitor Signature
Indemnitor Signature
Print Name
Print Name
Si no puede leer ni entender Inglés, favor de marcar este cuadro.
Check box and complete the
following if translation is required
Translation Certification. The undersigned translator makes this affidavit and hereby certifies, under penalty of perjury,
that he/she read verbatim and translated this entire document, including the reverse side, and all related bond
application documents including disclosures, promissory notes, security instruments and trust deeds, to the Indemnitor
signing below in his/her primary language.
Translator Print Name
Translator Signature
Translator Full Address
Date
Confirmo por mi colocación de mis iniciales que las dos caras de este acuerdo han sido traducidos completamente a mi
satisfacción. (I confirm by my affixing my initials that this contract has been translated to my satisfaction.)
INDEMNITOR Initials
READ ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF EACH PAGE
Form# ACC.FL.0307 (10/21)
* gA
Page 1 of 4
Con
ons
You, the undersigned (referred to herein as "Indemnitor," "Defendant," or together as "you" or "your," as applicable),
agree to be bound to the following terms and conditions:
1. The premium for the Bond is fully earned upon the release of Defendant from custody. The premium is not refundable
except as stated herein or provided by law.
The fact that Defendant may have been improperly arrested, the bail
reduced, or the criminal case dismissed shall not obligate the Surety to return the premium, or any portion of it.
2. Defendant agrees to appear in any Court as required in connection with the Bond at the dates and times stated in the
Bond and/or as may be ordered by the Court. Indemnitor will ensure that Defendant appears in Court as so required or
as ordered by the Court.
3. Surety shall have control and jurisdiction over the Defendant during the term for which the Bond is in effect and shall
have the right to apprehend, arrest and surrender the Defendant to the proper officials at any time as provided by law
and/or this Agreement. It the Detendant is surrendered betore a tailure to appear in Court, and for a reason other thar
as stated in paragraph 4, you may be entitled to a retund of the Bond premium it required by applicable law it any) and
as may be stated in the Supplemental Terms and Conditions.
4. Unless otherwise provided by applicable law (it any), the tollowing events shall constitute a breach of your obligations
o the Surety, and the Surety shall have the right to immediately apprehend, arrest and surrender Defendant to custody.
and you shall have no right to the refund of premium whatsoever:
(a) Defendant departs the jurisdiction of the Court without the prior written consent of the Court and the Surety;
(b) Defendant moves from his/her current address without prior written consent of the Surety, or Defendant fails
to notify Surety of any changes in address; (c) Defendant commits any act that constitutes reasonable evidence
of the intention to cause a forfeiture of the Bond or Defendant's failure to appear in Court as required: (d)
Detendant is arrested and incarcerated for any other oftense (other than a minor trattic violation); (e) Detendant
or an Indemnitor makes any materially talse statement in any material submitted to suretv tor the Bond
cludina the Bail Bond Application and Indemnitor Application; (f) The bail for Detendant is increased; (g
ndemnitor requests the surrender to custody of the Defendant; and/or (h) There is a material increase in th
risk assumed by the Surety (as determined by the Surety in its sole and absolute discretion), including, by way
of example, but not limited to, depreciation or impairment of any collateral pledged as security for the Bond.
5. In the event that the apprehension and surrender of Defendant to custody is required for any reason, including the
failure to appear by Defendant at any required Court proceeding or hearing, Defendant understands, agrees,
and
acknowledges that such apprehension and surrender involves risk of harm to Defendant and others, and as such
Defendant accepts the risk of such harm that may be caused to Defendant and/or others. Defendant also agrees to
defend, indemnify and hold Surety harmless (including all agents and employees thereof) from any injuries,
losses any a pass against Surely ling all agents nearlyes there arsing our rea
and surrender of Defendant.
6. You, jointly and severally (together and separately) with any other indemnitor, shall indemnify the Surety and keep the
Surety indemnified and hold it harmless from and against any and all claims, lawsuits, damages, losses, liability,
demands, actions, judgments, fees, fines, penalties and expenses (including attorneys fees and costs), relating to, or
arising out of, Surety's issuance or procurement of the Bond (together, "Liabilities"), including, but not limited to, the
following:
(a) the principal amount of any forfeiture of, or judgment on, the Bond, plus any related court costs, interest anc
egal fees incurred: (b) any fugitive recovery fee if there is a forfeiture of the Bond (which fee is tvpically ten tc
twenty percent [10-20%] of the amount of the Bond plus any out of pocket expenses); (c) any and all costs
incurred to extradite and/or apprehend and return Defendant to custody; and/or (d) if a collection action is required
under this Agreement, reasonable and actual attorney's fees plus any and other costs, expenses and/or
assessments that may be incurred as a result thereof the forfeiture of the Bond as subject to applicable law (if any).
The voucher, check or other evidence of any payment made by Surety shall be conclusive evidence of such payment in
any action against you as to the propriety of such payment and as to the extent of your liability to Surety for such
payment hereunder.
Further, you will, upon demand, place with Surety the requisite cash funds to meet any Liabilities (including a pending.
unpaid judgment or forfeiture demand), whether the demand is made before or after Surety has paid or advanced such
funds.
1. Subject to applicable law it any), any collateral (real or personal, including cash or securities) pledged to or depositec
with Suretv as securitv for the obliaations under this Agreement ("Collateral"
of any and all sums due to Surety for any and all Liabilities sustained, paid or incurred by Surety. You authorize the
or any part thereof, in order to pay or reimburse the Suretv for any and al
the Bond and/or to place the Suretv in cash funds so as to protect the Suretv
against the payment of any Liabilities, including any claim, demand, loss, or judgment arising out of the Bond, even if the
Suretv has not paid any such Liability. Subiect to applicable law (if anv). the Surety mav make any such sale, at its
discretion, at public or private sales, and without demand, notice or advertisement of the time and place of said sale. anc
also with the right to purchase said Collateral at such sale or sales, freed and discharged from any equity or redemption
except as otherwise provided by applicable law.
shall not be liable for the depreciation of any Collateral or for any interest thereon. In the event of
leposit. Subject to applicable law (if any), if you fail to deposit such additional Collateral, the Surety shall have the fu
ight, power and authority, without further demand or notice, to sell, assign and deliver the whole or any part of sucl
Collateral, including any substituted or additional Collateral, at public or private sale, at its option, and without demand
notice or advertisement, and also with the right to purchase said Collateral at any such sale, freed and discharged from
any equity or redemption as provided by applicable law.
9. If a Confession of Judgment ("COJ") is taken as security for the Bond, the Surety shall have the right to enter, record
and file the COJ at any time, and such COJ shall constitute a lien entitled to a preference against any of your property,
Form# ACC.FL.0307 (10/21)
Page 2 of 4
Terms
And
whether or not the Surety is entitled to be indemnified at the time of the entry, recording or filing of such COJ. If such
COJ is entered, recorded or filed by the Surety against you, the COJ entered shall be effective and available to the
Surety against you.
10. You acknowledge and agree that the Surety may foreclose against the Collateral and/or exercise any of the rights or
remedies provided under this Agreement or take any combination of such actions without waiving any other right or
remedv. Failure to exercise any rights or remedies of the Surety at any one time shall not constitute a waiver of the right
to exercise them at any other time. Any security or Collateral you give may be substituted, subordinated, or released by
the Surety without affecting any other rights. The Surety shall not be obligated to enforce its rights against any security,
Collateral or indemnitor prior to enforcing its rights against you or any other indemnitor.
11. Subject to applicable law (if any), the Surety will return the Collateral to you when all of the following are satisfied:
(a) the Surety receives sufficient and competent written legal evidence satisfactory to the Surety for example,
written notice trom the Court of the discharge, release or exoneration of the Surety from all liability under the
Bond; (b) there are no outstanding Liabilities of any kind arising out of or relating to the Bond or this Agreement;
(c) there are no other obligations executed by, for or on behalf of the Defendant for which the Surety may deem
t advisable to retain such Collateral for its protection; and (d) upon the request by Surety, you shall execute and
deliver to Surety a legal release of claims upon the return by Surety of the Collateral to you.
f the Surety deems it necessary to make any outlay to protect any Collateral or security in its possession, whether for
real or personal property, you authorize the
Surety to do so, and you agree to indemnify and reimburse the Surety for
any such outlay as in the judgment of the Surety may be necessary to protect the Collateral, including payment of taxes,
liens or mortgages and any attorney's tees, costs and service tees for time spent and/or special services rendered.
12. The Surety shall have the right to transfer and/or assign, in whole or in part, its rights and obligations in this
Agreement, and/or in the Bond, to the Bail Producer or any other person or entity ("Assignee") without notice to or
consent from you. Subject to any limitations imposed upon Assignee by the Surety, Assignee shall have the right to
enforce in any suit, foreclosure, action, proceeding or otherwise any of the right of the Surety herein or arising out of any
of the transactions contemplated hereby, and you shall not, and expressly waive any right to, assert the claim or defense
that Assignee does not have the right to enforce such rights in any such action, proceeding or otherwise.
13. You hereby acknowledge and agree that neither the Surety nor Bail Producer has recommended or suggested any
specific attorney or firm of attorneys to represent the Defendant in any capacity.
14. This Agreement may not be terminated or modified orally. Any modification and termination of this Agreement,
including any release of liability hereunder, must be in writing and signed by the Surety and you.
federal law (including,
but not limited to,
Reporting Act) and any local or state law relating to Surety obtaining, and you consent to and authorize Surety to obtain,
any and
all private or public information and/or records concerning you from any party or agency, private or
governmental (local, state or federal), including, but not limited to, credit reports, Social Security Records, criminal
records, civil records, driving records, tax records,
records, medical records, school records, worker
or governmental (ocal state or federal contacted by surety to hurris to Surely or Bail Producer, in accordance vate
applicable law, any and all private and public information and records in their possession concerning you to the Surety
and direct that a copy of this document shall serve as evidence of said authorization.
16. You irrevocably grant to Surety and Bail Producer, and their agents and employees, the right to enter your
residence, or any other residence or real property you own or occupy, without notice, at any time, for the purpose of
ocating, arresting, and returning the Defendant to custody, and subject to applicable law, you waive and release any
and all causes of action in connection therewith, including without limitation, torts of trespass and false imprisonment.
17. Defendant agrees that Surety may attach a location tracking device on any vehicle owned or driven by Defendant, at
any time, without notice, and monitor the location of the vehicle through any available technology. Defendant further
the il Compilance by belondant win the flowing terms and conting in period, and the Bond contined upon
(a) Surety, at its discretion, will use network-based location technologies to locate Defendant; (b) This is the only
notice Defendant will receive for the collection of location information; (c) Surety will retain location data only
while the Bond is in force and during any applicable Bond remission period; (d) Surety may disclose location
information as required by Court Order or process; (e) Surety, including its agents and representatives, will be
AND ANY APPLICABLE BOND EMISSION PERIODO KING DURING THE PERIOD THE BOND IS IN FORCE
Direct all questions regarding this paragraph to the Surety.
18. If Defendant leaves the state in which the Bond was issued, subject to applicable law, Defendant waives any rights
to oppose extradition proceedings.
19. In the event any provision herein shall be deemed to exceed any applicable state or tederal law, then such provisior
shall automaticallv be deemed to have been revised to comply with such law so as to provide Suretv with the maximum
rotection from any Liabilities. The invalidity or unentorceability ot any provision herein (or portion thereot) shall in n
vay effect the validity or enforceability of any other provision (or portion thereof of this Agreement
20. This Agreement and all documents that are executed in connection with this Agreement set forth all the terms of the
agreement between the Surety and you. All statements, representations, promises, agreements, and affirmations made
by the Surety or Bail Producer, or any representative, employee or agent, thereof prior to or contemporaneously with the
set forth in this
Agreement, are of no force or effect whatsoever in determining the rights, obligations and/or liabilities between the
vou. You further agree to execute and be bound bv an other future documents necessary to carrv out and
effectuate this Agreement.
Form# ACC.FL.0307 (10/21)
Page 3 of 4
Supplemental Terms
1. Surety, as bail, shall have control and jurisdiction over Defendant during the term for which the Bond is executed and
shall have the right to apprehend, arrest and surrender Defendant to the proper officials at any time as provided by law.
2. In the event Defendant's surrender is made prior to the time set for Defendant's appearances, and for reasons other
than as enumerated below in paragraph 3, then a refund of the Bond premium shall be made to the person whose name
appears as Payer on the Premium Receipt.
Defendant's obligations to :
Defendant, and no person shall have any right to any refund of premium whatsoever. The events which constitute a
oreach of Defendant's obligations hereunder are:
(a) If Defendant departs the jurisdiction of the Court without the written consent of the Court and Surety or Bail
Producer: (b) If Defendant moves from one address to another within the State of Florida without notifying
Surety or Bail Producer in writing prior to moving; (c) If Defendant commits any act which constitutes reasonable
evidence of Detendant's intention to cause a torteiture of the Bond; (a) It Detendant is arrested and incarcerated
for any offense other than a minor traffic violation; or (e) If Defendant makes any material false statement in the
Agreement.
Division of Consumer
Services, Bail Bond Section, 200
1-877-693-5236 (in-state)
5. The person whose name appears as Payer on the Premium Receipt shall be entitled to a refund of premium for the
Bond if and when it is found that Surety had no liability under the Bond because Defendant did not come under the
jurisdiction of the court to which Defendant is returnable or Defendant is not released from custody, except where the
Bond is written to allow Defendant to serve a sentence in another jurisdiction.
6. For good and valuable consideration, vou agree to indemnify and hold harmless the Surety or its agent for all losses
not otherwise prohibited by law or by rules of the Department of Financial Services.
you acknowledge receipt of copies of this Agreement, which includes statements as to the restrictions placed c
etendant as a condition ot the bono and lo the ball Producer's and suretv's powers relatino to the cancellation of tr
Bond and recommitment of Defendant.
8. The specific fees for which you are required to indemnify Surety in accordance with the Agreement are as follows:
(a) Costs necessary to apprehend Defendant in the event Defendant attempts to flee the jurisdiction of the
courts: (b) Attorneys fees and court costs associated with filing of motions; (c) Documented transportation and
lodging expenses outside the jurisdiction of the court; (d)
for housing, re-arrest,
transportation and extradition; and (e) A maximum fee of $100 for a surrender allowed by law when there has
seen no torteiture ot the Bond
9. Collateral will be returned to the person whose name appears as "Depositor" on the Collateral Receipt within 21 days
after proof of final termination of liability on the Bond has been provided to the Surety.
au Sure by a i i a i in for lin i 22 10am im all tes, expenses, and charges
a conflict between
the terms and conditions of the Agreement and this Supplement, this
Supplement shall control.
Form# ACC.FL.0307 (10/21)
Page 4 of 4
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
BAIL BOND INFORMATION SHEET
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:
Bail 2 GO - Orlando
P.O. Box 592643, Orlando, FL 32859
(407) 254-5554
Defendant Name
Edwin Torres
Power Number(s)
N/A
Case Number
As principal (defendant) and/or indemnitor (guarantor) on a bail bond, you must be given a copy of any collateral
documents that you sign relating to the above bond(s).
When all agreements have been fulfilled, bond is discharged in writing by the court, and without loss expense on the
bond(s), your collateral will be returned to you.
BE AWARE: YOUR COLLATERAL IS AT RISK if the principal fails to appear in court or if the principal commits any
breach (violation) of agreement.
ANY OF THE FOLLOWING HAPPENINGS IS A BREACH OF AGREEMENT:
1. If principal fails to appear in court;
2. If principal shall depart the jurisdiction of the court without the written consent of the court and the Surety, or its agent;
3. If principal shall move from one address to another without notifying the Surety, or its Agent, in writing, prior to said
move;
4. If principal shall commit any act which shall constitute reasonable evidence of principal's intention to cause a forfeiture
of the bond (s);
5. If principal is arrested and incarcerated for any offence other than a minor traffic violation;
6. If principal shall make any material false statement in the application;
7. If principal shall violate any special restriction or condition of the bond(s) imposed by the Court.
For general information regarding your collateral, contact the agency as shown on the top of this sheet.
For further inquiry / complaint, contact
Department of Financial Services
Bail Bond Section
200 East Gaines Street
Tallahassee, FL 32399-0320
Phone: (850) 413-5660
**** Read carefully prior to signing ****
PRINCIPAL/INDEMNITOR ACKNOWLEDGMENT
I/We have received a copy of this information sheet.
IWe have received a copy of all collateral documents that I/We signed regarding the above bond(s).
Defendant Signature
clintons
Indemnitor Signature
Date
Print Name
Print Name
Edwin Torres
Signed original to agent's bond file; Copy to defendant and each indemnitor
Date
Form# ACC.FL.0028 (10/22)
Page 1 of 1
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
PRIVACY NOTICE
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE:
Bail 2 GO - Orlando
P.O. Box 592643, Orlando, FL 32859
(407) 254-5554
This Privacy Notice applies to your non-public personal information (personal information") received by Allegheny
Casualty Company and/or AlA Holdings, Inc., as applicable, ("Surety"), through that Surety's duly appointed independent
bail producer ("Bail Producer") (Surety and Bail Producer are sometimes together referred to as "Surety"), issuing, or
causing to be issued, a criminal appearance bail bond described as:
THE INFORMATION WE COLLECT: The Bail Producer is a licensed, independent contractor who is appointed by us to
write bail. Prior to issuing a bail bond, the Bail Producer will collect, and in some cases, transmit to us your personal
information. Your personal information is obtained from a variety of sources:
• Applications and other forms (e.g., name, address, social security number, employment information, family member
information, assets, income, and property locations and values) and electronically if you use our website or web-based
applications (e.g., name of the internet domain, the IP address from which you accessed the site, and the time and
date - our website uses cookies to collect individual information about you and your website usage);
• Transactions and experiences with us and others, (e.g., credit card and account balances, and payment history); and
• Consumer reporting agencies, medical providers, or others (e.g., credit score, background checks, and medical and
employment information).
HOW WE USE & PROTECT PERSONAL INFORMATION: Your personal information will be used to process the bail
bond application, underwrite and post the bond and resolve bond claims or breaches of contract. We may provide your
personal information to others working with us who need this information for these purposes, such as attorneys and
investigators. Your personal information is used to assess the risk of the bail bond transaction, protect against fraud, or
generally to effect, administer or enforce the terms of the bail bond transaction. Only authorized personnel are permitted
to access your personal information. We convey to our employees and appointed Bail Producers the need to protect
your personal information and require our outside vendors and service providers to keep your personal information
PARTIES TO WHOM WE MAY DISCLOSE INFORMATION: We do not disclose your personal information to anyone
except as permitted/required by law - for example, to industry regulators, law enforcement agencies, credit bureaus,
subpoena, and third parties that assist us in the bail bond process and underwriting. We do not sell your personal
information to anyone, and do not share your personal information with any companies or organizations that would use it
to contact you about their products and services.
CONFIDENTIALITY AND SECURITY: We maintain physical, electronic and procedural safeguards to protect your
personal information. We ensure that your personal information is treated responsibly and consistent with our privacy
policies. We also restrict access to your personal information within our organization to those persons who must have
the information to provide services to you or to conduct our business. Persons who have access to your personal
information may use it only for our business purposes. We safeguard your personal information in accordance with
applicable laws. You have a right to review your personal information and to request that we correct, amend or delete
such information on file.
WEB PRIVACY: When you visit AlA's website at (www.aiasurety.com), the Web server automatically collects and
maintains statistical information from our site's data logs that concern network traffic flow and volume. The information
that is collected does not identify personal information. The collected information is used to improve the usefulness of
the website. We reserve the right to change this Privacy Notice at any time. The most up to date version of our Privacy
Notice can be found on AIA's website.
CALIFORNIA CONSUMER PRIVACY ACT: For California Residents, please visit www.aiasurety.com/CCPA to
access our complete California privacy statement under the CCPA. If you would like a full copy of the policy, please
contact the Surety at (818) 223-3308 or privacy@aiasurety.com.
FURTHER INFORMATION: If you have any questions about how we use the information we collect, please write to us
at: AIA Compliance Department, PO Box 5600, Thousand Oaks, CA 91359.
Indemnitor / Defendant Signature
[Indemnitor / Defendant Printed Name
Date
din
Lous
Edwin Torres
Form# ACC.0027 (10/21)
*0g4
Page 1 of 1
PREMIUM RECEIPT and STATEMENT OF CHARGES
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
Receipt No.: AP-
SOC202402271037
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE
Bail 2 GO - Orlando
P.O. Box 592643, Orlando, FL 32859
(407) 254-5554
Date Received
02/27/2024
Payer Name
Edwin Torres
Defendant
Edwin Torres
Power Number(s)
N/A
Court
Payment
Method
• Cash
Check
• Credit Card
• Money Order
Credit Card Authorization Code
Amount Received ($)
N/A
Payer Phone Number
(201) 306-0366
Bond Amount ($)
2,500.00
5th Judicial Circuit Court-Lake County
Appearance Date
03/18/2024
Itemized Expense(s) (if and as permitted by applicable law)
Transfer/Posting Fee
*08185
Form# ACC.0304-1 (10/21)
Case Numbers)
Appearance Time
8:30 AM
Expense Amount
$ 100.00
$
$
$
Payer Signature
Elintons
2 Print Name
Edwin Torres
Collateral Received Collateral Receipt Numbers)
• Yes • No 6312-13150, 6312-13151
Bail Bond Premium
$ 250.00
• Total Expense(s)
$ 100.00
Prior Payments)
($350.00
Amount Received
($ N/A
Remaining Balance
$ 0.00
Producer/Representative Signature
Producer/Representative Print Name
)
PREMIUM RECEIPT and STATEMENT OF CHARGES
I understand that the premium owing or paid is fully earned upon the Defendant's release from custody, and the fact that the
Defendant may have been improperly arrested, re-arrested, the case dismissed, or the bail reduced shall not obligate the return
or forgiveness of any portion of the premium except as otherwise provided by applicable law (if any) as stated in the Bail Bond
Agreement.
CONTINGENT PROMISSORY NOTE
This Contingent Promissory Note ("Note") is being executed by the undersigned ("Maker") to secure Allegheny Casualty
Company, as Surety, upon forfeiture or estreature of the surety bond(s) posted on behalf of defendant:
Edwin Torres
("Defendant").
On demands after date, for value received, I/We promise to pay to the order of Allegheny Casualty Company the sum of $
Dollars, at PO Box 5600, Thousand Oaks, CA 91359, with interest thereon at the
rate of eighteen percent (18%), per annum from call date until fully paid. The Maker further agrees to waive demand, notice of
non-payment and protest, and in case suit shall be brought for the collection hereof, or the same has to be collected upon
demand of an attorney, to pay reasonable attorney's fees and assessable costs, for making such collection.
It is further agreed and specifically understood between the parties to this Note that there is presently no outstanding loan or
debt represented by this Note, and that this Note is given only to secure future advances. It is further agreed and specifically
understood that this Note shall become null and void in the event the said Defendant shall appear in the proper court at all the
time or times so directed by the Judge or Judges of competent jurisdiction until the obligations under the appearance bond or
bonds posted on behalf of the Defendant have been fulfilled and the Surety discharged or exonerated of all liability thereunder,
in writing, otherwise to remain in full force and effect.
Case numbers)
• Lake
COUNTY, FLORIDA
P/A number(s) N/A
Signature
tintous
Signature
Edwin Torres
Maker Name
Date
Maker Name
Date
Form# ACC.FL.0036 (10/21)
* 08212*
Hide
Bail 2 GO - Orlando
P.O. Box 592643
Orlando, FL 32859
CO
Check-in Schedule
February, 27 2024
Edwin Torres is scheduled to check-in weekly every Sunday beginning Sunday, February 25, 2024 and until Bail
2 GO - Orlando modifies or changes this schedule.
Next Scheduled Check-In is on Sunday, March 3, 2024; Edwin Torres must check-in online.
To check-in online go to http://www.checkmybail.com/id/RXRWCXUBDT
clintons
|
Defendant app (digital) | 870.1 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Enabled Notifications .pngNotification Settings
Turn Notifications On?
Types
Notification Settings
Turn Notifications On?
Types
• Edwin Torres ( Defendant, Indemnitor)
Yes
No
Appearance Date
Standard Appearance Track
Checkin Due
Standard Check-In
Payment Due : N/A
¿ Teresa Quintana ( Significant Other, Caller, Indemnitor, Re…
[show full stored text] |
Notifications screenshot | 153.5 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin EPBV FLAT.pdfallegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
THIS IS A 3-PAGE, DOUBLE SIDED DOCUMENT
READ CAREFULLY AND COMPLETE
Defendant Name
Edwin Torres
Charges
BATTERY ON A PERSON 65 OR OLDER
Case Number
Jail Location
Lake Co. Sheriff's Office Det. Ctr.
County…
[show full stored text] |
Indemnitor app (digital) | 741.7 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin EPBV.pdfallegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
THIS IS A 3-PAGE, DOUBLE SIDED DOCUMENT
READ CAREFULLY AND COMPLETE
Defendant Name
Edwin Torres
Charges
BATTERY ON A PERSON 65 OR OLDER
Case Number
Jail Location
Lake Co. Sheriff's Office Det. Ctr.
County…
[show full stored text] |
Indemnitor app (digital) | 898.3 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Lake County Clerk of Courts .pdf2/27/24, 5:33 PM
ShowCase
Home / Case Search
Case #
Party Name / Business
Name
Suffix
Party
Type
Race
Filter...
File
Date
Court
Type
Case
Type
DOB
No records found
Sex
Showing O to 0 of 0 entries
© 2024 Lake County Clerk of Courts | ShowCaseWeb (v3.262.8186)
https://courtrecords.lakecountyclerk.org/…
[show full stored text] |
Court/case doc | 51 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Mamba .pngFeb 24 2024
24001159
EDWIN TORRES
Feb 141964
60 years ago
BATTERY ON A PERSON 65 OR OLDER
$2,500.00
lake
[show full stored text] |
Image (unclassified) | 89.3 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
| Torres, Edwin Mugshot .jpg | Court/case doc reason: low-text-confidence | 75.8 KB | 2024-03-14 21:13:42 uploaded 18d after created | yes | Dropbox · History |
Torres, Edwin Premium Receipt FLAT.pdfPREMIUM RECEIPT and STATEMENT OF CHARGES
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
Receipt No.: AP-
6312-8077
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE
Bail 2 GO - Orlando
P.O. Box 592643,…
[show full stored text] |
Unclassified | 122.3 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Premium Receipt .pdfPREMIUM RECEIPT and STATEMENT OF CHARGES
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
Receipt No.: AP-
6312-8077
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE
Bail 2 GO - Orlando
P.O. Box 592643,…
[show full stored text] |
Unclassified | 131.1 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Premium Receipt American Spirit Processing Payment Gateway FLAT.pdf2/25/24, 11:41 AM
American Spirit Processing Payment Gateway
Transaction Successful
Transaction Receipt
Merchant:
Date/Time:
Transaction ID:
Transaction Type:
Entry Method:
Axiom Surety Corp - (Orlando, FL)
02/25/2024 11:40:47 AM EST
9251016706
Card Sale
Keyed
$250.00
Credit Card Information
CC Type…
[show full stored text] |
Unclassified | 68.7 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Premium Receipt American Spirit Processing Payment Gateway.pdf2/25/24, 11:41 AM
American Spirit Processing Payment Gateway
Transaction Successful
Transaction Receipt
Merchant:
Date/Time:
Transaction ID:
Transaction Type:
Entry Method:
Axiom Surety Corp - (Orlando, FL)
02/25/2024 11:40:47 AM EST
9251016706
Card Sale
Keyed
$250.00
Credit Card Information
CC Type…
[show full stored text] |
Unclassified | 86.7 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Rapsheet.pdf2/25/24, 10:54 AM
LAKE COUNTY SHERIFF'S OFFICE
ORSI
(/index.php)
=
DISCLAIMI
INFORMATION POSTED ON THIS WEBSITE IS A PUBLIC RECORD SERVICE PROVIDED FOR INFORMATIONAL PURPOSES ONLY. WHILE
EVERY EFFORT IS MADE TO ENSURE THAT THE POSTED INFORMATION IS ACCURATE, INMATE INFORMATION CHANGES QUICKLY AND TH…
[show full stored text] |
Court/case doc | 587.8 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Transfer Fee American Spirit Processing Payment Gateway FLAT.pdf2/25/24, 11:42 AM
American Spirit Processing Payment Gateway
Transaction Successful
Transaction Receipt
Void
Refund
Transaction Information
Merchant: Axiom Surety Corp - (Orlando, FL)
Transaction ID: 9251020085
Amount: $100.00
Date: 02/25/2024 11:42:30 AM EST
Transaction Type: Card Sale
Entry Method…
[show full stored text] |
Unclassified | 67.9 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Transfer Fee American Spirit Processing Payment Gateway.pdf2/25/24, 11:42 AM
American Spirit Processing Payment Gateway
Transaction Successful
Transaction Receipt
Void
Refund
Transaction Information
Merchant: Axiom Surety Corp - (Orlando, FL)
Transaction ID: 9251020085
Amount: $100.00
Date: 02/25/2024 11:42:30 AM EST
Transaction Type: Card Sale
Entry Method…
[show full stored text] |
Unclassified | 88.9 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |
Torres, Edwin Transfer Fee FLAT.pdfPREMIUM RECEIPT and STATEMENT OF CHARGES
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
Receipt No.: AP-
6312-8078
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE
Bail 2 GO - Orlando
P.O. Box 592643,…
[show full stored text] |
Unclassified | 123.3 KB | 2024-03-14 21:13:42 uploaded 16d after created | no | Dropbox · History |
Torres, Edwin Transfer Fee.pdfPREMIUM RECEIPT and STATEMENT OF CHARGES
allegheny
CASUALTY COMPANY
PO Box 5600, Thousand Oaks, CA 91359
800.935.2245 info@aiasurety.com
Receipt No.: AP-
6312-8078
PRODUCER NAME, ADDRESS, PHONE, EMAIL AND PRODUCER LICENSE NUMBER MUST BE PREPRINTED OR STAMPED HERE
Bail 2 GO - Orlando
P.O. Box 592643,…
[show full stored text] |
Unclassified | 132 KB | 2024-03-14 21:13:42 uploaded 18d after created | no | Dropbox · History |