AMERICAN FAMILY INSURANCE COMPANY

17057 N OUTER 40 RD STE 167

CHESTERFIELD MO 63005-1475

Fold and tear along perforations

Missouri Insurance Card Missouri Insurance Card

Insured: Konrad Monie, Taffy L Monie Insured: Konrad Monie, Taffy L Monie
Policy Number: 41012-65875-81 Policy Number: 41012-65875-81
Effective Date: 2/10/2018 Expiration Date: 8/10/2018 Effective Date: 2/10/2018 Expiration Date: 8/10/2018
Vehicle Description: Vehicle Description:
2006 Dodge Truck Grand Caravan 2wd 2006 Dodge Truck Grand Caravan 2wd
Vehicle Identification Number: Vehicle Identification Number:
2D8GP44L86R618379 2D8GP44L86R618379
Coverage: Coverage:
BI PD UM UIM BI PD UM UIM
Agent: David T Johnson Producer ID: Agent: David T Johnson Producer ID:
Agent Phone: 1-636-530-1199 4177 Agent Phone: 1-636-530-1199 4177

Fold and tear along perforations

Missouri Insurance Card Missouri Insurance Card
Insured: Konrad Monie, Taffy L Monie Insured: Konrad Monie, Taffy L Monie
Policy Number: 41012-65875-81 Policy Number: 41012-65875-81
Effective Date: 2/10/2018 Expiration Date: 8/10/2018 Effective Date: 2/10/2018 Expiration Date: 8/10/2018
Vehicle Description: Vehicle Description:
2005 Hyundai Elantra 4d 2005 Hyundai Elantra 4d
Vehicle Identification Number: Vehicle Identification Number:
KMHDN46D05U193203 KMHDN46D05U193203
Coverage: Coverage:
BI PD UM UIM BI PD UM UIM
Agent: David T Johnson Producer ID: Agent: David T Johnson Producer ID:
Agent Phone: 1-636-530-1199 4177 Agent Phone: 1-636-530-1199 4177

PV 89 01 03 13 Page 1 of 4
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
PV 89 01 03 13
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
Page 2 of 4
AMERICAN FAMILY INSURANCE COMPANY
17057 N OUTER 40 RD STE 167
CHESTERFIELD MO 63005-1475

Fold and tear along perforations

Missouri Insurance Card Missouri Insurance Card

Insured: Konrad Monie, Taffy L Monie
Policy Number: 41012-65875-81
Effective Date: 2/10/2018
Vehicle Description:
2000 Mitsubishi Mirage 4d
Vehicle Identification Number:
JA3AY26C5YU012304
Coverage:
BI PD UM UIM
Agent: David T Johnson
Agent Phone: 1-636-530-1199
Insured: Konrad Monie, Taffy L Monie
Policy Number: 41012-65875-81
Expiration Date: 8/10/2018 Effective Date: 2/10/2018 Expiration Date: 8/10/2018
Vehicle Description:
2000 Mitsubishi Mirage 4d
Vehicle Identification Number:
JA3AY26C5YU012304
Coverage:
BI PD UM UIM
Producer ID: Agent: David T Johnson Producer ID:
4177 Agent Phone: 1-636-530-1199 4177

Fold and tear along perforations

Missouri Insurance Card Missouri Insurance Card
Insured: Konrad Monie, Taffy L Monie Insured: Konrad Monie, Taffy L Monie
Policy Number: 41012-65875-81 Policy Number: 41012-65875-81
Effective Date: 2/10/2018 Expiration Date: 8/10/2018 Effective Date: 2/10/2018 Expiration Date: 8/10/2018
Vehicle Description: Vehicle Description:
1995 Chevrolet Truck S10 Pu Ext Cab 4x2 1995 Chevrolet Truck S10 Pu Ext Cab 4x2
Vehicle Identification Number: Vehicle Identification Number:
1GCCS19W3SK248559 1GCCS19W3SK248559
Coverage: Coverage:
BI PD UM UIM BI PD UM UIM
Agent: David T Johnson Producer ID: Agent: David T Johnson Producer ID:
Agent Phone: 1-636-530-1199 4177 Agent Phone: 1-636-530-1199 4177

PV 89 01 03 13 Page 3 of 4
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
PV 89 01 03 13
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
THIS CARD MUST BE CARRIED IN THE INSURED
MOTOR VEHICLE FOR PRODUCTION UPON
DEMAND. THE COVERAGE PROVIDED BY THE
POLICY MEETS THE MINIMUM LIABILITY LIMITS
PRESCRIBED BY LAW.
To report a claim, call: 1-800-MY AMFAM
(1-800-692-6326)
American Family Insurance Company
6000 American Parkway Madison WI 53783
NAIC # 10386
Page 4 of 4