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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___ 1Q33_BOUth_H o p f i _MSti._________ Assured MC fttsIL COaHTKUCYTUrt OQt___________________ Address_ 6860 AVALQH M 3 H ANGELES, CALIF. Agency---------Ht O t------------------------------------------------------------------------- 3 -1 -4 7 Jl-22-47 Broker_____ LaiiSTT • & CM AMPLER... -Policy D ate 3—1— 47/48 C O D E N O . D E S C R IP TIO N O F W OR K PA Y R O L L B O D IL Y IN J U R Y P R O P E R TY DAMAGE P R E M . 0521 CONTRACTUAL LIABILITX 8*0,C, TO CHARGE MINIMUM OP-1929 ABE J OP-19^3 TOGAS ABTAR'UiCXKLILNO G 94.93 & MOVING GO, 7.26 102.19 102,19 >425 ,208 Total Earned Premium- =W = Advance or Deposit Premium- Additional Premium______ Return Premium------------- Net Premium AdditionaL 1,00 -Return- Date- 11A7/47 G-633-A 50M 10-47 A, MARLIN Auditor
