HomeMy WebLinkAbout921"INTERIM RECEIPT CASH SYSTEM
No. 1375 The Waterloo Mutual
Fire Insurance Company.
HEAD OFFICE, WATERLOO, ONT.
Markham Mar 16 1897
RECEIVED from JB Burk Esq for SJ Burk the sum of Fifteen 90/ Dollars, being
Premium for Insurance to the amount of $1600 upon the property described in her
Application of this date for 36 months from the 16 day of Mar. 1897
Subject to approval at the Head Office and to the conditions of the Company’s Policy.
Unless previously cancelled, this Receipt binds the Company for THIRTY DAYS from
the date hereof and no longer, after which time the risk shall be considered cancelled
and of no effect. If the Insurance be declined the amount received will be refunded,
less the premium for the time insured: if confirmed, a Policy will be issued in due
course.
H.B. Reesor
Agent
(handwritten)
Loss if any payable to LJ Richardson as his interest may appear. H.B.R.
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