FLORIDA AUTO INSURANCE IDENTIFICATION CARD
COMPANY Chartls Property Casualty Comp
EFFECTIVE
POLICY a. 0004284329 DATE 03/19/2012
YEAR 1967 tin, MINI MOKE
VEHICLE ID.
y PERSONAL INJURY PROTECTION X BOOILY INJURY
X DAMAGE LIABILITY LIABILITY
N D
NI SURED. 358 El MOO WaY
ADDRESS. Palm Beach, FL 33480
(OPTIONAL)
NOT VAUD FOR MORE THAN ONE YEAR FROM EFFECTYVE DATE
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.
Rental car coverage is provided. see outline of coverage.
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
ACORD SO FL (3/94) 0 ACORD CORPORATION 1994
EFTA_R1_01182540
EFTA02306579