MONTHLY STATEMENT

NAMED INSURED(S): JOSH SIMER POLICY NUMBER: FGA140005604-00

14679 HIGHWAY 151 POLICY PERIOD: 7/10/2021 - 1/10/2022
TRION, GA 30753
INVOICE DATE: 9/10/2021

YOUR VEHICLE: 2001 DODGE DURANGO

BASE RATE: $35.98
PER MILE RATE: $0.053
STARTING ODOMETER: 156,902
ENDING ODOMETER: 158,126
MILES THIS MONTH: 1,224

CHARGES THIS MONTH

DODGE DURANGO Base Charge $ 35.98

DODGE DURANGO Mileage (1224 miles @ $0.053) $ 64.88

Subtotal $ 100.86
Convenience Fee $ 3.00
Policy Administration Fee $ 5.00
Mileage Data Capture Fee $ 5.00
Total Due $ 113.86

**Payment will be automatically drafted one day after the invoice date
Questions or need assistance? Call us at 888-645-3001 or email us at help@mileauto.com.

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