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STATE FL INSURANCE IDENTIFICATION CARD OP ID TL <br /> COMPANY NUMBER COMPANY <br /> 40231THIS CARD MUST BE KEPT IN THE INSURED <br /> Old Dominion Insurance VEHICLE AND PRESENTED UPON DEMAND <br /> POLICY NUMBER EFFECTIVE DATE <br /> EXPIRATION DATE <br /> B1G10866 <br /> # 1 10 / 15 / 04 10 / 15 / 05 <br /> YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER <br /> 2000 Ford RLT Van 1FBSS31L8YHB71884 <br /> IN CASE -0F ACCIDENT ; Report all accidents <br /> AGENCY/COM@ANY ISSUING CARD to your Agent/Company as soon as <br /> possible . <br /> Greene - Hazel & Associates , Inc , Obtain the following information : <br /> R . Hardaker - - - - <br /> 904 - 398 - 1234 1 . Name and address of each driver , <br /> • <br /> INSURED passenger and witness .. <br /> 2 . Name of Insurance Company and policy <br /> Children ' s HOm@ Society of FL <br /> number for each vehicle involved . <br /> 1485 South Semoran Blvd # 1448 <br /> Winter Park FL 32792 <br /> COVERAGE MEETS MINIMUM LIABILITY INSURANCE PRESCRIBED BY LAW <br /> ACORD 50 idi ( 2 / 95 ) <br /> w <br />