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upr000218-239
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I agree.PACIFIC EMPLOYERS INSURANCE COMPANY Home Office: LOS ANGELES, CALIFORNIA T n r a f in n 101? SO Iltfa HOPft 8t ._____ I weil construction co,__________ -Policy No. UP-1535 Address 5860- A7ALQM BLVD»» UPS AWQgfclS 3 , CALIF, Agency— Broker_ 7-1-45 3-1-46 1METT & CHANDLER -Policy Dare 3 -1 -4 5 /4 6 C O D E N O . 3457 0521 D E S C R IP T IO N O F W O R K JOB #9 liOCATIOSt 0©-n®friction at Las ?©g&s, Kev&da of Beservoljp CALIFORNIA CARPEHTRT CONTRACTUAL LIABILITY S.O.C. P A Y R O L L 1.101.96 1.101.96 Total Earned Premium--------- Advance or Deposit Premium- Additional Premium------------- Return Premium------------------ B O D I L Y I N J U R Y = 7 2 1 P R O P E R T Y D A M A G E P R E M . =U3= Net Premium ..... . 15.75 _ Additional__________ Return. Date. 11/14/47 G-633-A SOM 10-47 Auditor