United States Postal Card, Insurance Commissioner, Receipt of Annual Statement Duplicate

Front:
10 december A 190A DEAR SIR: We hereby acknowledge receipt of Duplicate blanks for our Annual Statement for the year ended Dec. 31, 190 daya allmoiatun Insurance Company, 18.02 Ree

Back:
SMEKIN EY-1901.6 Olly N. SEY DEC 8 4-PM CENT. 1900 THE SPACE ABOVE IS RESERVED FOR POSTMARK. POSTAL CARD. AMERICA 1843- INSURANCE COMMISSIONER, HARTFORD, CONN.