This document is an insurance license issued to Richard Joseph Placette, II on July 19, 2016 authorizing him to transact business as a General Lines Agent for Life, Accident, Health and HMO insurance through June 9, 2018. The license provides his name, address, license number and expiration date as well as confirming he is authorized to conduct the specified insurance activities.

1. LICENSE NUMBER: 2108251
Issue Date: 07-19-2016 Expiration Date: 06-09-2018
General Lines Agent
Life, Accident, Health and HMO
RICHARD JOSEPH PLACETTE, II
PO BOX 771
WARREN, TX 77664
is authorized to transact business as described above
License No: 2108251 Issue Date: 07-19-2016 Expiration Date: 06-09-2018
Generated by Sircon 132328802
THIS IS TO CERTIFY THAT
RICHARD JOSEPH PLACETTE, II
PO BOX 771, WARREN, TX 77664
IS HEREBY AUTHORIZED TO TRANSACT BUSINESS
IN ACCORDANCE TO THE LICENSE DESCRIPTION
SHOWN BELOW:
General Lines Agent
Life, Accident, Health and HMO
Generated by Sircon 132328802
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