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OCR Page 1 of 2ILLINOIS LIFE INSURANCE COMPANY CHICAGO
ABEL DAVIS. RECEIVER
RECEIVED
amount (as per marginal statement). If payment is not made to the Head Office of the Company, this receipt to be valid
must be countersigned by the authorized collector
whose name is stamped hereon.
Countersigned By
Thel Davis
Date
SEP 13:333
Receiver.
STATEMENT
Policy Number
Payable
Due Date
Premium $ 38.00
Day of
224600
1/4ANNL 11TH
AUG
J.PC
Year
pax
secomor
Interest
HARRY S TRUMAN ESQ
po
14
219 N DELEWARE ST
INDEPENDENCE MO
NARA
Amt. Due
GE of 093 1.1933
por
THIS PAYMENT OF PREMIUM is ACCEPTED WITHOUT PREJUDICE AND WILL BE HELD SUBJECT TO THE FURTHER ORDER OF THE COURT.
ABEL DAVIS, RECEIVER
XO
3204-5-33
READ THE "NOTICE TO POLICY HOLDERS" ON THE BACK OF THIS RECEIPT
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