AUL Perpetual Proxy PERPETUAL CONTINUING PROXY Plan Sponsor E1N: 356000972
Contracthoider/Policyholder City of Carmel, Indiana Contract/Policy No. G36865
Because I am a policy holder, I am automatically a voting member of the parent company,American United Mutual
Insurance Holding Company (the"Holding Company).
For an matters submitted by the Holding Company to its members for a vote, I may vote in person.Annual meetings
are held at the Holding Company's principal place of business in Indianapolis, Indiana on the third Thursday of
February in Indianapolis, Indiana or at such other location,place, or time as may be designated by the Board of
Directors. I may receive no further notices of the annual meetings.
1 can choose to submit my proxy instead of personally attending the meeting. I have checked the box below if
I have made that choice.
I APPOINT the Secretary of the Holding Company, or in the absence of the Secretary the President, to vote MY
PROXY upon all questions or matters that are submitted to a member vote, including elections of Directors of the
Holding Company's Board of Directors.The Secretary or President, as the case may be, must vote my Proxy as
directed by the Board of Directors and in accordance with the By-Laws of the Holding Company.
If 1 have checked the proxy designation box above, I instruct the Holding Company to record my PERPETUAL
CONTINUING PROXY. I INTEND FOR MY PROXYTO REMAIN IN EFFECT as long as I am a voting member of the
Holding Company or until I submit a revocation or modification of this Proxy in writing to the Holding Company.
Policy/contract delivered and this document signed at (City and Stare)
on , 2
Contra cthoider/Policyholder signature Contract/colder/Policyholder signature
Witness signed and printed Winless signed and printed
Signature Page Attached
P-I2746 5/9/11
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
James Brain aid, Presiding Officer Date
9 — / .7, / 3
M y Ann rke, Boar Member Date
11A1 /i3
Lori Watson oard Member Date
ATTEST:
Tana Cordray, IA , Clerk-Treasurer Date