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OCR Page 1 of 2TABEL DAVIS, Receiver GREATEST ILLINOIS COMPANY
InLINOIS 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 PEB 281933
Bert froney
Secretary.
STATEMENT
Policy Number Payable Due Date
Premium $ 38.00
Day of
224600
1/4ANNL lITH
FEB
pur
Year
Interest
HARRY S TRUMAN ESQ
TRUMAN
219 N DELEWARE ST
INDEPENDENCE MO
CS Jones or
1933
Amt. Due
to
This payment of premium is accepted without prejudice and will
so hold subject to the further order of the Court.
Abel Davis, Receiver
ac
3204-6-32
READ THE "NOTICE TO POLICY HOLDERS" ON THE BACK OF THIS RECEIPT
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