Front:
READ YOUR POLICY.
See Special Regulation No. VI.
OFFICE OF
The Farmers' and Mechanics' Home Mutual Fire Insurance Company
OF SULLIVAN COUNTY, PA.
FORKSVILLE, PA., March 6th, 1896.
5 ΤΟ
In a Roge
of
this company, amounts on your policy
vu
SIR: Assessment No. 16,
No.....
qy q
to $.
You are hereby notified to pay the same
100
to the Treasurer, J. L. SNYDER, at Forksville, within thirty days from this date.
R. D. LANCASTER, Secretary.
..
Please present this card to the Treasurer to be receipted.
Received payment ......
Apra!,
Jür Le Snyder
To pay insurance ($542.00) on Charles Wanck's house in Elkland township, burned
February 17th, 1896, and expenses of assessment.
189 ....
lg..
... 189
A....Treasurer.
Back:
VO
POSTAL CARD - ONE CENTA
United States America
VILLE
1696
M. a. Roque
muiate
Fordently
ㅅ