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KEEP THIS COPY IN YOUR CAR
INSURANCE IDENTIFICATION CARD
INSURED:
Dave Campbell
206 S. Main Street
Middletown, Ohio 45044
POLICY NUMBER:
DPW 30205347
EFFECTIVE DATE:
03-15-03
EXPIRATION DATE:
09-15-03
MAKE/MODEL:
1991 Ford Escort
SERIAL NUMBER:
1FAPP14J6MW360594
AGENT:
Advantage Risk, Inc.
3985 Race Road Suite 19
Cincinnati, Ohio 45211
PHONE:
(513) 598-6600

ANSON B. SMITH & COMPANY
100 E. GAY STREET COLUMBUS, OHIO 43215