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upr000218-235
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I agree.Pacific Employers Insurance Company Assured- Address - Broker__ Agency- Auditor’s Summary Form MC WEIL CONSTRUCTION COMPANY___________ 5860 Avalon Blvd.j Los Angelas, Calif, Policy N o.__ C -9 3 1 4 7 F rom ________Zr.1 - 4 5__ e m e t t & chandler METRO. . Audit N o. PAYROLL STATEMENT T o______ If cancelled, date 3-1-46 C O D E N O . T R A D E . B U S IN E S S . P R O F E S S IO N OR O C C U P A T IO N ( M A N U A L CLASSIFICATION) T O T A L R E M U N E R A TIO N P A ID O R A L L O W E D E M P LO Y E E S E A R N ED PR EM IU M 5403 5403 JOB #9 CONSTRUCTION OF RESERVOIR, LAS V COVERING CALIFORNIA EMPLOYEES Carpentry - 7-1-45 to 12-1-45 Carpentry - 12-1-45 to 3-l^-46 SGAS, NEVADA MC NEIL HOUSING CO. JOB NO. H-723 MC NEIL CONST. CO. JOB NO. C-85 Total Earned Premium Advance or Deposit Premium Additional Premium Return Premium 39 19 Date—N o y .— 14->— 1 9 4 7 M. SCHAEFER - eb F O R M C - 2 0 2 U N L I N K D Auditor