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DocuSign Envelope ID:35E8DCE7-1CAA-4177-A55F-37F14DE3307B <br /> NC FARM BUREAU MUTUAL INS. CO. PROOF OF INSURANCE <br /> 0 P.O. Box 27427, Raleigh, NC, 27611-7427 <br /> NOTHING IN THIS DOCUMENT SHOULD BE CONSTRUED AS A WAIVER OF ANY POLICY TERMS OR <br /> CONDITIONS. THIS DOCUMENT 1S INVALID IF POLICY 1S CANCELLED, TERMINATED OR EXPIRED. <br /> Policy Number: APM 8445513 Effective Date: 02/21/19 Expiration Date:08/21/19 ti , <br /> Insured Vehicle: Year: 2015 Make: LEXS RX 350 AWD VIN: 2T2BK1 BA2FC270209 <br /> Agent's Name: JOHN G EDWARDS, LUTCF Phone Number: (336) 623-1025 <br /> Named Insured: <br /> MELYNEE FALK <br /> 1406 VALEEYMEDE RD IMPORTANT: PLEASE PLACE IN DESIGNATED VEHICLE <br /> GREENSBORO, NC 27410-3938 <br /> NAIL Number: 14842 01/12/19 <br /> Authoriz presentative Date <br /> XXXXXXXXXXXXXXXXXXXXXXXXXXX PROOF OF INSURANCE <br /> G P.O. Box 27427, Raleigh, NC; 2761 1-7427 <br /> NOTHING IN THIS DOCUMENT SHOULD BE CONSTRUED AS A WAIVER OF ANY POLICY TERMS OR <br /> CONDITIONS. THIS DOCUMENT IS INVALID IF POLICY IS CANCELLED, TERMINATED OR EXPIRED. <br /> Policy Number: XXX XXXXXXX Effective Date: XXXXXXXX Expiration Date: XXXXXXXX <br /> Insured Vehicle: Year: XXXX Make: XXXXXXXXXXXXXXXXX VIN: XXXXXXXXXXXXXXXXX <br /> Agent's Name: XXXXXXXXXXXXXXXXXXXXXX Phone Number: XXXXXXXXXXXXX <br /> Named Insured: <br /> MELYNEE FALK <br /> 1CAa6 VALLEYMEDE R❑ IMPORTANT: PLEASE PLACE IN DESIGNATED VEHICLE <br /> GREENSBORO, NC 27410-3938 <br /> C N : X XXXXXXXX <br /> N AI umber XXXX <br /> Authoriz presenta4ve Date <br />