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PREMIUM NOTE SYSTEM.
THE LONDON 1
Autuat fire insurance U'v j
OF CANADA. I
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THE SECRETARY.
L:xnox Murur. Aun Inwu. a
C)9101.Ox'r.
Wyo. -ZWy
P.O.
Policy expiressAcl 88
.mmm,rm',F .. S Ivor
pr tUUlut iteeafned, -._. ..._... _.hia lr_+trae s/er, assn; su, and sea
over unto and --al all __..............
vol tette and Way at in than Podia, of Guurance, and all benefit and advantage be be. da had
frove the same Aul mwusichral of ._.. _._ __._..-
Weness_..
_...hand,
May
..... day of .......
..... fee
A Poseall
_
e
If, I unein) enua II IfII ew Ll
aai ul m WI
U ILprlYll a IIII Lw neuu In fil IfIce Il fl,, nuu Vile, 'If WN
le" 611 lx fee Illl. If Illy TU Ply 1111 ltt me t11100101nn be luu.
Qhs XonDon *111t1W jice 11WITraure Qtompassy aY eattl@a hereby conn„t that bale
I ntel of - _. fn the wall Policy,, be—
osseyned to scIl nevertheless to all Una eonddte'oae
therein contained.
London`_ — _. _ _.. _—_fey
Secretary.
SURRENDER.
'ao tre Ori•ilgo of tile ''Toud a jilytimal tine "fin mann Ctonpmnp of Titaiuu. y
Genuemea, - I ;t1AN%
Having ald;wed and eodd oai al. nWhF, title and "de reO, in and to tlu��
_.insured' 67 the wiehin Polay, !u — .. 1.
f vby .mrvemder Me come, and I epnert Unna Me Policy be, cancelled.
Givenunder hand, this _, day of _.. n58
ian, +d lael++e o t rroumae
oiorc l myrrak !!y
aim. _
�1ONIN,
�.,',feVmWq—Ki _
E.^5.TASLI3HED. LN 185 9. -• �J_THE. ONLY D04ji LdSO ijIvJ,dtJrTi[Iigd(, a-
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HlT('yty DpC ��� tt,lSltmuct> I nd.a[on,;&. rw,</ado,,, ,,.,,ar, / oorra dysaid coy y 4.
INII €G rL- Zig .s
DO /NSURE. _ __ .._.._...
of Me r wnlh p ll 14 in the c n,✓y of 4, anki r oo:l,ro of okill ajazOsl kil dJ, l eyh d to she
aknomw of ..... .fid -v ,1 �i .L-, 1 _ Dollars, on fhe f llProperty, m wlr.
dINaW _+/��/ ✓ `-I9/� y� O ImMN+, damP'i^ kil Im.m{PO'Citi l
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w,W -_ 3/VT dk J. W. �4( tl.�d--•--� + —%e'
MalYmvN p palmy INNINIS OLLONNINNOIad PI
And tYt 5111 P{m0aau- w- m m: aiaenll a,.l•+. I/v -1 L.. Oi ¢a AI am ad1 n1 inw o.Y
b,y rbA�ik l µ p-mell 1 11 WI [a la tFn sl .0 II 1 `mu !dA I 1 p 1 'I"Ll JI Puh mll f. 11 'dal we
he -mad L 1 WP'b tJ.! shill 11 • III - -III WWW lu1L4.bL LY thl MI kil W LL.po kwn otlw ONI 'PILONNIIIIIL gwa nN
IN,, flk,y fittil killill Of ""
yt lF4pletd 11 I -Ii ival.mgl.I .1)wh dI 1" LIv l l;L vW."PLeaw, fm
ul w le avl In alk, Iw6 ms Wal uml ON m.4 Sae bvea.
'I'lnn I,W �r tw Y, o.xe In III ,at u6a- WPoe.h .11 da Merv[ma ••
�u witum whtylif r ta.0 rul Lll"On"J N. rLIill .. a�ma��.a w. am...a wi lmwem+a �l u...a e.l� l.,.m... e,r n.,�r.atl u.ma.. ue
�/i . -3Q,.-.. n I FIll-
STATUTORY CONDITIONS.
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III ,1 .. �.,
w.at .....1.......,t
l OIL INNINNINNI. kip"FIN11"
mrm ar�ar.r�uw rap Num.ra'euommxi+u ..wammrramrv..
ll ie�b®.I m..bM1 v1m� a.a+a.,sw. IOIL Mas..aca
_ 'v'�s y:�i..�y Ia_..smw m'a.v n�iu"a u.ei
a�ffi yIu mill 4 .:.ia.".ee�ry Wv.wu...t'5.e' p.umea.INvwemme...m.gn+ ININN e',
m'.gSu. im, IN. .e 1.4.x+..p e. e.+'i "wail uMaN�a.p
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.. ul�.l` NONk.,Jm u"e,.. �'4'S'r"t�.8". �i�aEe'�;"�LINNI 4.. �.IN I '�:'.'�^: �,.m','°:t�•C
NO I. III' 111 131.ol Mw = 14 11 kl� I �„a
NON, ONNIN NN
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Y
VARIATIONS IN CONDITIONS.
This Policy is issued on the above Statutory Gendr ions, with the following asidelines old ndditiens.
These variations n addri e, by vm ua of the Orh no Statute in int b,"If, in terce so far as by the Gourb or Judge
a bucolic, is tried relating t erets.chey shah be held to be Just and reasonable to he exacted by this Connolly.