OPERATIONS CENTER
effective date shown. (Not acceptable to Wan 100 STATE FARM PLACE
DARREN ... INDYKE;PLLC reoistrallon aver 45 0,6S from efleCtwO dale /
BALLSTON
SPA
, NY 12020-8000
575 LEXINGTON AVE FL 4 SEP-18-2015 12:01 A.M.
NEW YORK ... EFFECTIVE DATE NORTHEAST ZONE
This card expires al 1201 a.m. 60 days alter the
BALLSTON
SPA
OPERATIONS CENTER
01,60100 date shown (Nei acceptable to otaan 100 STATE FARM PLACE