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OCR Page 1 of 2PABEL DAVIS,
ILLINOIS COMPANY
Inninois LIFE INSURANCE COMPANY CHICAGO
RAYMOND W. STEVENS, PRESIDENT
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
Date
Secretary.
STATEMENT
Policy Number
Payable
Due Date
Premium $ 38.00
Day of
224600
1/4ANNL 1ITH
MAY
TRUMAN
pos
Year
Interest
HARRY S TRUMAN ESQ
219 N DELEWARE ST
1933
Amt. Due
INDEPENDENCE MO
PL
payment of premium is accepted the without Court. prejudice and will
be held This subject to the further order of
CKP
Abel Davis, Receiver ac
3204-6-32
READ THE "NOTICE TO POLICY HOLDERS" ON THE BACK OF THIS RECEIPT
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