HomeMy WebLinkAbout1971POLICY
FIRE INSURANCE CO.
OF CANADA.
F��ma rra eamm��nmwerV � m n:...ss . mA.
queure -
EMS
® bn on 9utuW Fiw Imuma Comrynu,
No. __6......0,1.q_p 8
, r
Towmkip of_..
—_—__._....... .........._.. P.O.
Policy FxPirea._lI
o......./300
309
SURRENDER
TO the Loutlou Mutual FIFe losurauoe Gompaup of Gauada
Hauled alienated and sold out all ...... _......... ...................... _.__...... riBhp title and Interest in and to the
Ensured by the wifhln Pofldy
hereby surrender the same, and request that the falfay be oanaefled.
Giown under........._.. had, tho.................. -,...... ...day of.__..__._ 188,
Im afe esu Jaee of ten above allonctatotOEa
lemon doto my own knowladoo.tL'y'`
_._. ... .............. ................... __...� .._
.mss.
in it steps, whomplus Penn, 1n heW... 19,d ,` vmm en me rom,mil ehmaa be wa, sum n fan y sn teed sent in with Parey.
A sum of a Polley see be ervigneundo, vi
a. n ni v,mumm a Pwthm i immenro,, If "Llmi, nm tiorNlned by
mPpi to the Sn"ehuy
.for Nnlue 8ecelvOt __. ............. nerehy transfer, assign and set naer.anto
... __ .... .......Poet ogloe, and ..., enable all
right, title and interest in this Polioy of Insamnoe, and all heal and advantage to be derloedpore
the game, being In oonslderatron obi..... .... ..... ..._................................... ..... .........__.... __.
Witness.. ......hand this ...... .......day of. ...lag.......
In Preserve of
" D,mribn Inn elmumemnmJ1 ru0 that Mee 1'etl h, the haulm. If a.uln ham been m fee simpin, men[iw the sum paltl
nna net mnmaidnp In m peel if any. In uvq uuw, lel the In6tannion he Ill. If w tlm pmwimu vole eyeMwabe thel sum note
mmt be 6 mr the nitl n mmtl.
Aaflal Piny cents ke must he merowd with sews Urmie.
Th Lootlon Mutual FIFO IRSUMOG6 Gompaflh of Gaoatla hereby Content that
the interest of ........... .. _..................,in the within Polioy be
usaminedM.._ ---- .--- ----------- ...._......... _....... ... ...- ......... _.... asub/
neoerthel+se, m all the eond/tlene thereln sustained.
S',whee,
33g this Poli g of
receioed, DO INSURE _-__-_-
E TABLISPED IN /859
171
p
°ii
THE ONLY DOMINION MUTUAL.
. for and in consideration `=.Dol/ars, by mid Company
of the Tewnehia of -__ ...._._ in the C my of ..... II and Province of 0 ono agamet lose or damage
by fire or lightning, for the ter. of 9 - 4�A4 vp� ....-commencing aUY o clock meddixa�ry�yyn� fhe_...�3p h� day of-..-E1.�a-re'- - 1891
and ending on the. mi.°r2_ddy of � 1-M P v+...... _1 L10 0 , to the amount of ._s!�kr €P_Lt......41:.Dollars,
on the following property,Ito wit; /
On DRILLING HOUSE, f.... DWELLING HOUSE, No, $_....... __—on maavr mmil imh Ox11119 meet Na4E.............. Fdm WeWbm4 ........ —C
Plm.ma Puedl Pe1nW Hmkz Pkmaasama PMn M$-......... nOmM end Jewell, 5.... .... ... ........ __.. -Pill S.._.. ............ O,E.n.$..__......... ... to .......
mer:.LeOfine:nW Sam, meld. Pmaym Ma.1 Mn w,W,wwlw. wsvm ooh on. no e, di. eyesaquma IY.omedY 1. Ill a oll
...tI) �a ............Q/.�..�..,,
Gn HIRN Nn 1. $.I{.,D...R..,......_�L.L .. _'L �.G0.4..W.W+/..._�l.P.R...._./a'✓V.'C.�r.Y..!:C.4C.1J..P.L..........................�.._....._.....�S...b...Y.�Q
...__......... _............. <.......... 4. .................... ..... ......................... _....... ........... .......................... .......................... _.—...... ... $........
_
OnO+J^vlCml®bYe].Bu¢Nn;.....t............. ...... ........... ......................... ......_ I.—__............................................._.:.........—_$..........
On Liam Slxkm.vY ^(OuelwYi,ge tln ki�.pP6ulim upn nh'wL Wovem.mip+aleW,R............—..... _....._._..5..........
..
......................
.....................
E}� 0 a�
Simo¢aeow.._..........�_..........._ An .... .'. ...........Cmwtiw. 2nw41Pa....... ....._✓.................... .... (e mmmn Mmtimm, Moceiptiw mJ ae rmmioB fort anie fel
te�mnmennamum.PP�ann(kne..iaimm.tlNn.........°J,.R..`�-..Q..P..�.................m6m in m= a(we G•mw�r. .m"EEm.mw<nrm.nnno-a<, e(i...Intl
two we Sell 6 ITAPHE be led in Mende ion aon. t mmree, an /moom,
1 dIm anJ 1 Mm m mor to me mJ ie MW seem
Ido ......... LM17, Hvmem„ 1.i mmi (+^J Awiloom t on, lC'Meno
11 F u
(mfief of He uogvmml nnJ conmle Ineocb, let not nWe+wia) ell bvw oe dmm�ge, wr, M[a limo o ,ne ,vnole tlw oe m oin.amomn Vid".IH, romnme mo nee time to m m Mil Monte, ml o nr Pv
gA(.tye,n�anee P:�aemt'am.eE me nmm we emmr ewlremam in rnme. n.,ltl lmm®ne en.nmgemmmlme�m xnmJ��atnwnnewni.wmexwe w9Pm.<rsson time u.e e,m..lmn nnPPem mmtlwnn MlO
arill®tt1 mwevoea tHi, rL tl,e men,Mot
.mpt mWe to and. d'Em,inm, Sn( smmer Com:va,. �i
$BIBl,en TY�InIVMhry u naae,do, Il pW mol oef the
mon of too PmIII m,I If mergswbm a led Commite:eni not to 4111YMIaHel If "Am AG mgmnemmbpmsebmeend W Meal Mwnto
tt Aemeivim NCuun me
In change do, Ill bcn%CM%mo9q otMmlInU,"Imu.I, emmafine le Ill and
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STATUTOIbY CONDITIONS �� — Pel
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VA14.IATIf1P[E9 IPi C(1PI UITIOl�i®.
This policy is t"net[ ..a the Smtu ol,f Conditions, with the following
ratiatiuu.t, and tuldltiom.
T1afe variations nail ed(ftow; are, by virtue of the Ontario Statute it,
that behalf, in fone eo far an by the (:atm or Judge, hefoto whom a question
I.% died relating thereto. th.p shall be held to Ire just and ream able to lw
macted by the Company
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