Indiana Online Driver Improvement
10401 N Meridian St., Suite 300 • Indianapolis, IN 46290 • (866) 657-4515

Completion Certificate
This certifies that XIN SUN declares under penalty of perjury that the Indiana Online Driver Improvement program was completed without any assistance whatsoever.
Court Name: Case No.: Violation No.: Student Name and Address: XIN SUN 112 W. WOOD STREET, NO.10 WEST LAFAYETTE,IN 47906 Reason for Taking Course: BMV Ordered Completion Date: 08/29/2013 Due Date: Course Name: Indiana Online Driver Improvement Course Language: English Student date of Birth: 08/02/1990 Drivers License No.: 3760-21-5696 Certificate No.: 0124612

Lisa Warren Authorized Signature - Indiana Online Driver Improvement

Indiana Online Driver Improvement
IndianaDriver.com

Dear XIN SUN, Thank you for participating in the Indiana Online Driver Improvement program. Enclosed is your certificate of completion. This certificate is proof that you graduated the course. Please note the following: • If you took the driver improvement program because of a BMV requirement, we have already submitted your completion certificate to the BMV for Processing • If you took the driver improvement program because of a Court requirement, please send the enclosed certificate to the court for processing. Indiana Online Driver Improvement does not send the certificate to the court for you. Have a great day and remember to drive safely! Sincerely, Indiana Online Driver Improvement 10401 N Meridian St., Suite 300 Indianapolis, IN 46290

Receipt
Student name: Phone: Date of Birth: Drivers License No.: XIN SUN 7657146368 08/02/1990 3760-21-5696 Printed On: 08/29/2013 Payment Amount: $76.84 Paid By: CC