NEW JERSEY

NEW JERSEY INSURANCE IDENTIFICATION CARD (STATE) COMPANY NUMBER COIAPANY TI COMMERCIAL E PERSONAL 059 AIG Property Casualty Comp POLICY NUMBER EFFECTIVE GATE EXPIRATION DATE 5/14/2015 5/14/2016 YEAR MAKE MODEL 2015 Mercedes 141.350 AGENCYCOMPANY ISSUING CARD Insurance Office of Central Ohio 165 W. Main Street P. O. Box 780 New Albany OH 43054-0780 INSURED Darren IC Indyke PLLC VEHICLE IDENTIFICATION NUMBER (614) 939-5471 SEE IMPORTANT NOTICE ON REVERSE SIDE THIS CARD MUST BE KEPT IN THE INSURED VEHICLE AND PRESENTED UPON DEMAND IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information: 1. Name and address of each driver. passenger and witness. 2. Name of Insurance Company and policy number for each vehicle involved. Address for notification of commencement of medical treatment: THE FRONT OF THIS DOCUMENT CCNTMNS AN ARTIFICIAL WATERMARK HOLD AT MI ANGLE TO VIEW ACORDSO WM (2007.03) 0 ACORD CORPORATION 1991.2007. AN rights reserved. INS050 WM (2007/03) EFTA00298017