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Nationwide® CA Assoc
00001
Your Account Bill
1 CA Ave
On Your Side CA City, CA 08537
Minimum Amount Due $70.80
Must be Received by November 17, 2007
Your Account Number 7258170084
Auto Policy 7204A 115004
CA Assoc 614.249.7111
Access your account online at www.mynationwide.com
See the reverse side for 24-Hour Claims Reporting and other contact information.

Planning to move? We Auto Janregoeight

can help!!! Please visit 111 Test
Regcity CA 12345
nationwide.com/help
memove

Account Summary Details of your account begin on page 3.

Previous Account Balance $0.00
Last Payment Including Any Fees 0.00
Policy Added to Your Account Auto Policy 7204A 115004 334.00
Installment Fee For Processing This Payment 4.00
Current Account Balance $338.00
Minimum Amount Due $70.80

For Billing Terms and Conditions, and

Please detach and mail this slip with your payment. Ways to Pay

Auto Janregoeight
111 Test
Regcity CA 12345
Payment Slip
SAVE! Mail your payment
early to avoid a Late Fee. Minimum Amount Due $70.80
Must be Received by November 17, 2007
Make payable to:
Nationwide Insurance Amount Enclosed
Address Change?
Please call 614.249.7111

Account Number
7258170084 /917160068688/
Nationwide Mutual Insurance Company
Your Nationwide Agent PO Box 60068
CA Assoc
614.249.7111
City Of Industry, CA 91716-0068

03 0711170000 10 01 14 0058170084 4 0000007080 0000007080 72 1

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Nationwide® Information You Can Use

On Your Side
Contact Us For questions about your policy contact:
CA Assoc
614.249.7111
CAASSOC@BILLING-TEST.COM
Hearing Impaired (TTY)
1.800.622.2421
24-Hour Claims Reporting
1.800.421.3535
Importante: Si usted tiene cualquier tipo de pregunta sobre su póliza de seguro o coberturas, por
favor comuníquese con su agente de seguros.

Ways to Pay Automatic Enroll in Nationwide's Easy Pay program and potentially save up to $96 per year. Your
payments are automatically deducted monthly from your checking or savings account.
Call us to sign up.
By mail Pay by personal check or money order mailed with your payment slip.
Internet At www.mynationwide.com you can pay by electronic check transfer, credit, or
debit card.
By phone Call 614.249.7111 and pay by electronic check transfer, credit, or debit card.
Billing Terms · Any check, electronic payment, or debit/credit card payment refused by your bank may be
and Conditions subject to a $20 fee. You may be charged a $5 fee for any payment received after the "Must be
Received by" date.
· An installment fee is incurred with each installment payment, except when paying monthly with
Easy Pay. To avoid future installment fees, pay your current account balance in full.
· Full payment of the minimum amount due is required for continued coverage on ALL policies.
· Payments are applied to any existing balances or fees first, then to the current balance due in the
following order: Auto, Property, Commercial, and Life.
· You may not be sent a bill for a balance due of $10 or less - the amount will appear on your next
statement.
· Some online billing options may not be available in your state. Visit www.mynationwide.com
for options available in your area.

Are you sure you're ready for 2008?

Life Comes at You Fast ®, be ready with Nationwide.

Whether it's reviewing your life insurance or updating your home

insurance, be sure you're ready by getting a comprehensive CARE
Review with your Nationwide Agent. Call and schedule it today so
you can get on with 2008, knowing you're protected.
Nationwide®
On Your Side
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Nationwide® Your Account Details

On Your Side Your Account Number 7258170084

Auto
Policy Number: 7204A 115004
Insuring Company: Nationwide Assurance Company
Renewal Date: 10/31/07
Policy Activity
Previous Policy Balance 0.00
10/31/07 Policy was added and premium was charged 334.00
Current Policy Balance $334.00
Minimum Amount Due for this POLICY $66.80
Installment Fee For Processing This Payment 4.00
Minimum amount due for this ACCOUNT $70.80
See your Policy Declarations for your coverage details.

How to Contact Us
CA Assoc 614.249.7111
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Nationwide®
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