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5-1904-5000
ESTABLISHED 1866

New York Mch. 7th 1905
Mr. Geo. H. Pepper 

To E. C. ANDERSON & CO., Dr.,
INSURANCE,

WHEN REMITTING PLEASE RETURN
DTHIS BILL FOR RECEIPT. 

Nos.50-52 Pine Street. 

[[5 column table]]
 
Date of policy | Company.| Amount.| Rate | Premium.

---|---|---|---|--- 

Mch. 2 | Home, Mar. Dep. | $600. | ✓ | $5.00

[[/5 column table]]

Paid by check
March 8/1905





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