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DISABILITY CLAIM DIVISION
STEWART M. LAMONT Third Vice-President
HARRY A. BAYER. SUPERVISOR PERMANENT DISABILITY CLAIMS
RALPH J. MARLER, SUPERVISOR GROUP HEALTH CLAIMS
JAMES A. FENETY. SUPERVISOR EMPLOYEES* GROUP CLAIMS
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^ork (Crt|j Oct. 18, 1929
General Asbestos & Rubber Div. of Rayb93tos-i.Ianhattan Inc.
P.O.Box 67
North Gharleston, South Garolina LJ
Liozhl
In re Jonh Harris Serial 572 GH 1052 Gl. 154493
Dear Sir:
TVenty-six
weeks of benefit have now
been paid in the case of the above insured. The first day
of incapacity is reported to have been
4-13-29
and benefits have been paid from
4-20-29
and including
10-13-29
to
This represents our full obligation for this illness under the Health Policy issued to this employee and with the payment made we are automatically canceling
the Health Insurance effective as of 10-13-29 until such time as he is able to return to work at full time and full pay.
Please promptly report to us the exact date of his return in order that the revival of his Insurance may be made.
Yours very truly.
GR
Form G.401
June. 1929
PRINTED IN U.S.A.