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Life Home Car Business
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AUTO - OWNERS INSURANCE COMPANY
CONTINUATION CERTIFICATE
BOND NUMBER
AGENCY 02- 0305 -00
ISU- INSURANCE AND INVESTMENT GROUP 66127719
301 E. UTICA ST. 02 -02 -2013 02 -02 -2014
SELLERSBURG IN 47172 -1444 MO DA YR I MO DA YR
PREMIUM TERM
PRINCIPAL R THOMAS LOWS BOND AMOUNT BOND PREMIUM
$15,000.00 $100.00
ADDRESS 706 E SAINT JOE RD
SELLERSBURG IN 47172 -9332
TYPE OF
BOND PUBLIC OFFICIAL BOND
DESCRIPTION
OF RISK CORPORATION COUNSEL /CHIEF OF STAFF
OBLIGEE CITY OF JEFFERSONVILLE Ate In consideration of an agreed premium payable in advance, the Bond described above in hereby continued in ,,,, ''���t� 5 m j •.��'•. #%
force for the period indicated in the premium term. Continuation is subject to the condition that the maximum .R.
aggregate liability of the AUTO- OWNERS INSURANCE COMPANY under the Bond and any and all ♦♦� *. � %T �•�
♦ ♦� 1
continuations thereof shall in no event exceed the amount of liability shown herein. This endorsement shall 1 0; • •.' 9 Z ! ,
be valid only when executed by an attorney -in -fact of this Company.
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im: .,
A i, 4111111111.1r.-- di r ‘ *...... ...two .... PRI CIPA
Attor =y-in-fact ,,� SIN t4":00*
PRI
Form 2936 (8 -96)