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Digital Provenance
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Publisher
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Transcription
PACIFIC EMPLOYERS INSURANCE COMPANY Home Office: LOS ANGELES, CALIFORNIA Location__1033 SOUth 8op6 St>_____ Assured____V, I GRAHAM CQ::rTRgCTI0» UQ.______________ Agency 8 * Q_#_______________________________ _ Broker____ BM BTT & UH.ANDLLR________________________ -Policy N o____ UP-1397 -From________ 2 —3«»47 -To_ L-l-47 -Policy D ate 2 5 —4 6 / 4 7 C O D E N O 3470 D E S C R IP TIO N O F WOR K JOB #1 PA Y ROLL. Equipment for digging pipe line ditch at Li.« reservoir, jfttinriMSjKA fei ?egss, (SC So, 49 - Beqnt 08879) EXClVATlOlt, etc. 42,00 B O D IL Y IN J U R Y R A T E 1 , 6 2 P R O P E R TY DAMAGE 1,66 70 Total Earned Premium_____ Advance or Deposit Premium. Additional Premium_______ Return Premium__________ N et P rem ium Date. 11/14/47 G-633-A SOM 10-47 Auditor
