DEPARTMENT OF INSURANCE

Name	Burnam & Son Mortuary Inc	DOIID	738664	NAIC NPN	15972056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	9/30/2010	3/31/2012

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Mailing	PO Box 651 Bowling Green, KY 42102
Business / Home Office	201 Center Street Bowling Green, KY 42101

Internet Information

Type	Address
Business Email	burnamson@insightbb.com - Bad Email-Correction requested
Internet	www.burnamandsonmortuary.com

Phone Information

Type	Phone
Business / Home Office	(270) 843-2336