WASHINGTON INSURANCE IDENTIFICATION CARD WASHINGTON INSURANCE IDENTIFICATION CARD

COMPANY COMPANY
SAFECO INSURANCE COMPANY OF ILLINOIS SAFECO INSURANCE COMPANY OF ILLINOIS

POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
H1874442 NOV. 12 2011 MAY 12 2012 H1874442 NOV. 12 2011 MAY 12 2012
YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER
2002 TOYOTA JT3HN87R929070249 2005 MNNI WMWRH33515TK56045
AGENCY/COMPANY ISSUING CARD AGENCY/COMPANY ISSUING CARD
CARLSON INSURANCE INC CARLSON INSURANCE INC
(206) 283-1000 (206) 283-1000
3824 18TH AVE W 3824 18TH AVE W
SEATTLE WA 98119-1616 SEATTLE WA 98119-1616
**** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS ****

INSURED INSURED
EMILY ANN JONES EMILY ANN JONES
CARL W WIGREN CARL W WIGREN
1008 W GALER ST 1008 W GALER ST
SEATTLE WA 98119-3238 SEATTLE WA 98119-3238
SEE IMPORTANT NOTICE ON REVERSE SIDE SEE IMPORTANT NOTICE ON REVERSE SIDE
CN-7028/EP 12/08 CN-7028/EP 12/08

WASHINGTON INSURANCE IDENTIFICATION CARD WASHINGTON INSURANCE IDENTIFICATION CARD

COMPANY COMPANY
SAFECO INSURANCE COMPANY OF ILLINOIS SAFECO INSURANCE COMPANY OF ILLINOIS

POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
H1874442 NOV. 12 2011 MAY 12 2012 H1874442 NOV. 12 2011 MAY 12 2012
YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER
1999 ACURA JH4DC4458XS001304 1972 FORD 2U61H108478
AGENCY/COMPANY ISSUING CARD AGENCY/COMPANY ISSUING CARD
CARLSON INSURANCE INC CARLSON INSURANCE INC
(206) 283-1000 (206) 283-1000
3824 18TH AVE W 3824 18TH AVE W
SEATTLE WA 98119-1616 SEATTLE WA 98119-1616

INSURED INSURED
EMILY ANN JONES EMILY ANN JONES
CARL W WIGREN CARL W WIGREN
1008 W GALER ST 1008 W GALER ST
SEATTLE WA 98119-3238 SEATTLE WA 98119-3238
SEE IMPORTANT NOTICE ON REVERSE SIDE SEE IMPORTANT NOTICE ON REVERSE SIDE
CN-7028/EP 12/08 CN-7028/EP 12/08

SEPARATE ID CARD(S) ON THE PERFORATIONS.

THE CARD MUST BE KEPT IN THE INSURED VEHICLE

AND PRESENTED UPON DEMAND.

CN-7028/EPD 12/08
 THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
The insurance policy meets the minimum insurance require-
ments prescribed by law.
IN CASE OF AN ACCIDENT
1. STOP. Get help for injured people.
2. RECORD PERTINENT FACTS.
• Date, time, location of accident
• Names, addresses and telephone numbers of registered owners,
occupants of all vehicles, injured people and witnesses.
• Insurance company name and policy number for each vehicle
involved.
**** REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS ****
3. DO NOT ADMIT FAULT. Discuss the accident only with the police
or your Safeco representative.
4. CALL THE POLICE (when required by law).
Call Safeco from the Accident scene or as soon as possible for 24
hour claims assistance, including windshield repair or replacement.
Please call 1-800-332-3226
If your policy includes Roadside Assistance call 1-877-ROAD 101
(1-877-762-3101) for 24 hour service
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
The insurance policy meets the minimum insurance require-
ments prescribed by law.
IN CASE OF AN ACCIDENT
1. STOP. Get help for injured people.
2. RECORD PERTINENT FACTS.
• Date, time, location of accident
• Names, addresses and telephone numbers of registered owners,
occupants of all vehicles, injured people and witnesses.
• Insurance company name and policy number for each vehicle
involved.
3. DO NOT ADMIT FAULT. Discuss the accident only with the police
or your Safeco representative.
4. CALL THE POLICE (when required by law).
Call Safeco from the Accident scene or as soon as possible for 24
hour claims assistance, including windshield repair or replacement.
Please call 1-800-332-3226
If your policy includes Roadside Assistance call 1-877-ROAD 101
(1-877-762-3101) for 24 hour service
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
The insurance policy meets the minimum insurance require-
ments prescribed by law.
IN CASE OF AN ACCIDENT
1. STOP. Get help for injured people.
2. RECORD PERTINENT FACTS.
• Date, time, location of accident
• Names, addresses and telephone numbers of registered owners,
occupants of all vehicles, injured people and witnesses.
• Insurance company name and policy number for each vehicle
involved.
3. DO NOT ADMIT FAULT. Discuss the accident only with the police
or your Safeco representative.
4. CALL THE POLICE (when required by law).
Call Safeco from the Accident scene or as soon as possible for 24
hour claims assistance, including windshield repair or replacement.
Please call 1-800-332-3226
If your policy includes Roadside Assistance call 1-877-ROAD 101
(1-877-762-3101) for 24 hour service
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
The insurance policy meets the minimum insurance require-
ments prescribed by law.
IN CASE OF AN ACCIDENT
1. STOP. Get help for injured people.
2. RECORD PERTINENT FACTS.
• Date, time, location of accident
• Names, addresses and telephone numbers of registered owners,
occupants of all vehicles, injured people and witnesses.
• Insurance company name and policy number for each vehicle
involved.
3. DO NOT ADMIT FAULT. Discuss the accident only with the police
or your Safeco representative.
4. CALL THE POLICE (when required by law).
Call Safeco from the Accident scene or as soon as possible for 24
hour claims assistance, including windshield repair or replacement.
Please call 1-800-332-3226
If your policy includes Roadside Assistance call 1-877-ROAD 101
(1-877-762-3101) for 24 hour service