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CENTRAL LIFE ASSURANCE SOCIETY (MUTUAL) RECEIVED amount (as per marginal statement). If payment is not made to the Chicago Office of the Company, this receipt to be valid must be countersigned by the authorized collector blail whose name is stamped hereon. Countersigned By cou ae Gvo. M Ayres Date DEC 11 1933 President. STATEMENT Policy Number Payable Due Date (17 que Premium (01, 224600 1/4ANNL 11TH Day of yua paox NOV 6kepso 6 tox cura LEG6TD Year Interest HARRY S TRUMAN ESQ brjol to 219 N DELEWARE STroy BUN N. obers 1933 Amt. Due LPG INDEPENDENCE MO L D TRUMAN NARA 3204 READ THE "NOTICE TO POLICY HOLDERS" ON THE BACK OF THIS RECEIPT