NEW YORK STATE INSURANCE IDENTIFICATION CARD

NEW YORK STATE INSURANCE IDENTIFICATION CARD Policy Number 059 AIG PROPERTY CASUALTY COMP Name 8. Address of Issuer Insurance Office of Central Ohio 614439-5471 165 W. Main Street P.O. Box 780 New Albany, Ohio 43054 An authorized NEW YORK insurer has issued an Owner's Policy of Liability Insurance complying with Article 6 (Motor Vehicle Financial Security Act) of the NEW YORK Vehicle and Traffic Law to: DARREN;K;INDYKE;PLLC 575 LEXINGTON AVENUE NEW YORK NY 10022 0,1 Effective Date Expiration Date 05/14/2015 05/14/2016 12:01 a.m. 12:01 a.m. (Not acceptable to obtain reoistration after 45 days from effective date.) Applicable with respect to the following Motor Vehicle: 2015 MERCE Year Make Vehic!e 'Elena!talon Number SEM THIS ID CARD MUST BE CARRIED IN THE INSURED VEHICLE FOR PRODUCTION UPON DEMAND WARNING: Arty person who issues or produces an ID card knowing that an Owners Policy of insurance is not in effect may be committing a misdemeanor. In addition. a person who presents an ID card if Insurance is not in effect may be committing a misdemeanor. The name of the registrant and the name of the insured must coincide. REPLACEMENT VEHICLE NOTATION: DMV WILL ONLY PROCESSA VEHICLE CHANGE (REREGISTRATION) USING THE REPLACED VEHICLES CURRENT REGISTRATION. FS-20 NEW 059 AIG PROPERTY Name 8. Address of 614439-5471 An authorized NEW Liability Insurance complying Security Act) of the YORK STATE INSURANCE CASUALTY COMP Issuer Insurance Office of Central Ohio 165 W. Main Street P.O. Box 780 New Albany, Ohio 43054 YORK insurer has issued an Owner's Policy of with Article 6 (Motor Vehicle Financial NEW YORK Vehicle and Traffic Law to: IDENTIFICATION CARD Policy Number Effective Date Expiration Date 05/14/2015 05/14/2016 THIS ID CARD MUST BE CARRIED IN THE INSURED VEHICLE FOR PRODUCTION UPON DEMAND WARNING: Any person who issues or produces an ID card knowing that an Owners Policy of insurance is not in effect may be committing a misdemeanor. In addition. a person who presents an ID card if Insurance is not in effect may be committing a misdemeanor. 12:01 a.m. 12:01 a.m. (Not acceptable to obtain registration after 45 days from effective date.) Applicable with respect to the following Motor Vehicle: 2015 MERCE DARREN;K;INDYKE;PLLC Year Make The name of the registrant and the name of the insured must coincide. 575 LEXINGTON AVENUE NEW YORK NY 10022 Vehic'e. IdenaIcalcon Number REPLACEMENT VEHICLE NOTATION: DMV WILL ONLY PROCESSA VEHICLE CHANGE (REREGISTRATION) USING THE REPLACED VEHICLES CURRENT REGISTRATION. b. 111111111111,11 FS-20 FAX: Scanable Bar Code 111111 FAX INSTRUCTIONS: 1. The entire page must be faxed. 2. II submitted to DMV, either the entire page or the second ID card and large scanable bar code will be retained 3. A faxed ID card must be replaced with a scanable ID card within 14 days of the effective date. 4. DMV will not accept a faxed ID card without a scanable barcode EFTA00298016