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Car Insurance Receipt

A car insurance receipt documents payment for automobile insurance coverage. It is commonly used for employer reimbursements and personal records.

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CAR INSURANCE RECEIPT
Car Insurance Receipt A car insurance receipt documents payment for automobile insurance coverage. It is commonly used for employer reimbursements and personal records.
Receipt No.: INS-AUTO-2026-0221 Paid Date: 02/17/2026 Status: PAID
Policyholder:
Jordan Parker
Policy No.:
PA-778214
Vehicle:
2021 Toyota Camry
VIN:
•••••••••••••4821
Coverage Period: 02/17/2026 - 03/16/2026 Plan: Liability + Comprehensive
Premium
165.00 $
Fees
2.50 $
Tax
0.00 $
TOTAL PAID
167.50 $
Payment Method:
ACH Transfer
Transaction Ref:
TXN-5531-9902