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OCR Page 1 of 3ORGANIZED 1851
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MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
SPRINGFIELD, MASSACUSEOS
RECEIVED. subject to the conditions on the back hereof. the
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payment described below
R1
R. add evisw Jimmag TO yos 10 10 vorloq add 10
POLICY NUMBER
PREMIUM PAYMENT
DUE
DATE
A.P.L.
KC 5
699,753
Quar' lymo
23
MAY 1936
bas
voilod
ons
to
AMOUNT OF
41.25
PREMIUM
8 10 yd berrgia bas ni ynsqmoO
Harry S. Truman, 10 ada
DIVIDEND USED
TO REDUCE
$
219 No. Delaware St.,
PREMIUM
Independence, Mo.
NARA
3DITOW
BALANCE
$
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Thistreceint to be valid must be countersigned by person aut horized to receive premiuma
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GENERAL AGENT KANSAS CITY AGENCY
SECRETARY
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