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Digital Provenance
Digitized materials: physical originals can be viewed in Special Collections and Archives reading room
Publisher
University of Nevada, Las Vegas. Libraries
Transcription
PACIFIC EMPLOYERS INSURANCE COMPANY Home Office: LOS ANGELES, CALIFORNIA Location__3.033 touth Sopc St._____ ? ? GILBREATH Address. Agency- Broker— P. Q'i BOX 1771 j LAB VEGAK, NEVADA -Policy N o___ _DE-19M .From_________ metro _To_ 9~25-a 6 EMSTT i CHANDLER -Policy Datp 5 — 2—*16/A 7 C O D E N O . 3429 D E S C R IP TIO N O F WOR K JOB #2 Painting: in Booster Station, Hew Reservoir, L&s Vegas, Nevada. PAINTING N.O.C. TO CHARGE MINIMUM. PAY R O L L Ad.95 B O D IL Y IN J U R Y *15* 30- p r o p e r t y DAMAGE • 550 P R E M . Date- Total Earned Premium- Advance or Deposit Premium- Additional Premium__________ Return Premium_____________ Net Premium I1/1A/47 ~W A. MARLIN AdditionaL H H ___Return- Auditor
