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~OOUC~ <br />La Hair - Mulock - Condon Co. <br />808 Fifth Ave <br />Des Ho£nes, IA 50309-1300 <br /> <br />INSUREQ <br /> <br />Casey's General Stores, Inc. <br />Casey's Marketing Company <br />Casey's Services Company <br />P.O. Box 3001 <br />,Ankeny, Iowa 50021 <br /> <br /> 06/18/96 <br />THIS ~TIFIC. ATE IS I~ ~ A ~%"1~ ~1~~ <br /> <br />COMPAN[I=et ~DING C:CTVI~IAGE <br /> <br />aEmployers Mutual Casualty Company <br /> <br />~MPANY' <br /> <br /> c <br /> <br />THIS IS TO C~ THAT THI~ POUC~g C~ IN..~LIRANC~ LI~ 8t~LCW HAVE 84~N ISSUED TO THE INSURI~D NAMED ABCNEFCRTHEPOJCYP~CO <br />INDICAT'E~, NOTI/I/I'THS'T'ANDING ANY' ,RECUI/:~'METCT. TE;::IM CR C:cNDmc:N C~ ANY' C:::NTRACT C:~ OTHER DOCUMENT wrn-f RESPECT' TO WHICH <br />C~'--[TIF1CATE MAY' BE ~ED CR MAY PERTAIN, THE D,I..CLIR,N'CCE AFFCRDED BY' THE PCLIC:E$ DESC~SED HI~2DN IS SUBJECT TO ALL THE <br />EXC:.USIC:~S,WlD c:c~omc~s c~ SUCH PCUC:ES. I.~an's ~C'WN ~/,*¥ HAVE ~ I:~EDUC:ED aY' P.A~ <br /> <br /> POUCY ~FEOTIVE F'OLJCY E:COIRATION <br /> TYPEOFINSURANCE POUCY HUM B E~I OAT£ [M M/D O,ff'Y'J OA?E [M M/DO/YYi UMITS <br />A 1D3036897 07/01/96 07/01/97 <br /> <br /> G E.R ERA L UABIUTY <br /> <br /> E.R CIA L G EN E.:::IA L LrAalUT~ <br />__ CLAh'~S ,MAOE [XJ OCCUR <br /> JDWN ~--'R'S ,&. CON I~AO ,"OH'S .a'ROT <br />j~Liquo r Liab. <br /> <br />i )X,~YAUTO <br /> ALL OWNED AUTOS <br /> SCHEDULE.:) AUTOS <br /> Hlfi--O AUTOS <br /> I NON-OWNED AUTOS <br /> <br />GARAGE LIABILITY <br /> <br /> ANYAUTO <br /> <br />I I <br /> <br />E~C E~S LIA 81UTY <br /> <br /> ONLY- -iA ACC! O~-.NT <br />OTH=_R THAN AUTO ONLY:. <br /> <br />lEACH OCCURRENCE <br /> AGGREGATE IS <br /> <br />OTHER <br /> <br />O E~, CR;PT~OH OF OPERATIONe:/LOCATIO,N-q <br /> <br />V EHICL ESI$ F EC;A L ITEMS <br /> <br />07/0!/96 <br /> <br />07/0!/97 I J s'rA,"uTo~Y L,~,TS I! ............. :-.--:.:-.-.:-:.:.:.:.:.:...:,.:-:-.--.-,-:-.'-: ..... <br /> I ~=HA~C:O~'~r Is!, 000 r 000 <br /> <br /> o~s~s~-~Ac.,., --~,,..o','-:--j,=l, 0 0 0,0 0 0 <br /> <br />CASEY'S GENERAL STORE <br /> <br />"TO WHOM IT MAY CONCERN" <br /> <br />FOR INFORMATIOHAL PURPOSES ONLY <br /> <br />SHOULOANYOFTHEABOVEDESCRt~E~pOLIC:ES ;ECANCELLEO ~EFORE?HE <br /> <br />-:~P:.RAT;,ON OATETHEMEOF, THE'SSU,NG COMPANYWILL ENDEavOR TO MAiL <br /> ~ DAYSWRITT'=.NNOTICETOTHECERTIFICATEHOLDE~NAIdEDTOTHELEFT, <br /> <br />aUTFA~LURETO MA~L SUCH NOT. CESHALLIMPOSENOOaL:GATIoN OR LIA ~[L:T'f <br />OF ANY X':NO UPON THE COMPANY. ITS AGENTS OR RE.=R=CENTAT~¥ES. <br /> <br />AUTHORIZ ED R E.?fl ES ENTADVE <br /> <br /> <br />