002 BrokerA UserA 1 InsurerB UserB 2 0 2011-04-01T12:00:00 1 This example is using the info as visible in the Template_Final sheet of the VeridassFichierFinal_20131017.xls file. M0139 2 EUR F123456 0059 1 1 -1 Leflotteowner 1234567890 2 2 ID123 Sopress Hisstreet 12345 1234 3570 Alken B 04 FirmaNaam C RP123456 00 59 NBN NBN InsurersA RC123456 123456 Broker A 123456 FSMA FSM Authority Brokers A 12345 0024 Insurer B BrokerAccountsB Version1 1 Leflotteowner ABC123456 59 Insurer B 123 2010-11-16 19555.22 19555.22 2 S-Max Ford 2010 2 1ABC123 1 1 Bormans Michel 1 FRD12345678901234 123 AC 12 136 019 2 1 A 3200 006 7 1950 002 100 001 2

49

2010-11-16T00:00:00 2010-11-16 2010-11-16

10.25

200.01 EUR 0

0

2010-11-16T00:00:00 2010-11-16 2010-11-16 PJP1 59 PJFormulas V1 Protection Juridique Produit 1

15.25

20.01 EUR 1 00 EUR F123457 0059 1 1 -1 Leflotteowner 1234567890 2 2 ID123 Sopress Hisstreet 12345 1234 3570 Alken B 04 FirmaNaam C RP123457 00 59 NBN NBN InsurersA RC123457 123456 Broker A 123456 FSMA FSM Authority Brokers A 12345 123456 Insurer B BrokerAccountsB Version1 1 Leflotteowner ABC123456 59 Insurer B 123 2010-11-15 29555.22 29555.22 2 Galaxy Ford 2010 2 1ABC124 1 1 Bormans Paul 1 FRD12345678901235 123 AC 12 136 019 2 2 A 3200 006 7 1970 002 99 001 2

51

2010-11-15T00:00:00 2010-11-15 2010-11-15

10.25

199.99 EUR 0

0

2010-11-15T00:00:00 2010-11-15 2010-11-15 4 OT11 59 ComprehensiveFms V1

15.25

400.33 EUR 886.66

3

2010-11-15T00:00:00 2010-11-15 2010-11-15 PJP1 59 PJFormulas V1 Protection Juridique Produit 1

15.25

20.01 EUR 1 00 2011-02-28 2011-03-01 2011-03-31