Agency of the Connecticut Mutual Life Insurance Company.
James ____ Ohio August 20/ 1866
James R. Conner Esquire
The Annual premium of $10.68 on policy in this company No. 49136 with be due on the 29th day of September, 1866 and is payable as follows viz Amount of Premium $14.68 Total Cash $10.68
Respectively Yours, D.T.Johnson District, Agent
In the renewal of policies the insured must pay the same as the first premium less the dividend of 186 with interest on all notes previously give, which is added to the cash payment. The premium must be paid on, or before the day it is due, or the policy is forfeited and the company is under no obligation to renew it although where the health of the party is unimpaired it may be done by personal application at the office Agency. Please send or bring the cash payment on receipt of which a certificate of renewal will be returned to you.
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