Document MJNemV1xKXmodLbjRzrXbQjyy

> r Private lfo.A.^6- Australian Blue Asbestos Limited mines * mills WlTTENOOM. W.A. prifats. rc\ 8 William Street Perth western Australia G.P.O. BOX NO. 968 M telephone a 2238 10th February,1948. The I&naging Director, 3YDNH5T.N.S.Vf. Dear Sir, '< N - A: ^ 0 ,VN 1<*. ELMSUE / s^i^SMSL-IT - Fire. (Our AS**). V.re enclose duplicates of two Statutory declarations v/e have to r.iclce in order to obtain payment of the amounts due to us from tile United Insurance Co-Ltd., as the result of the fire at V.Tttenooin Gorge on 6th January, 194-3. In regard to HO. 2 barracks and contents the sum payable is 1008. In regard to the tents and temporary accommodation our claim is subject to average and the sum payable is 267.5.0. mailing a grand total of 1275,5.0. to be paid to us. Please advise if v/e can conplete the declarations for the amounts as stated, in full settlement of our claims. Full particulars of how the proposed payments are arrived at etc., are shown on the back of each copy of the declarations. lours truly. >. r* C 1210  3? ? 31 TH E U N ITED IN SU R AN C E C O M PAN Y LIM ITED H -n n S 3C Q. j cr gl =a - s o* ah0**;: |_l 2!-* tK>*: : Cj : 1w % Hf 35 OC 53* .: co >H-*cr a ca *** W ou he* O3 Fa >3 H* pS <a* << o. L - o< 8. 3 xo < ,,x ccHXot* ET to iT 8. SR a3 co <rt 2 a ito 4 >-3 3a io ojn o 13 A co it <n AO C/3 ->3 OAQ "3 * e -3 O< S *S4 O ncn r A t c/> > n A >A o 2 cn a. s A *< TO THE GENERAL MANAGER THE UNITED INSURANCE COMPANY LIMITED INCORPORATED IN HEW SOUTH WALES George & Hunter Streets, Sydney STATUTORY DECLARATION .......................................................................................... do solemnly and sincerely declare (bat ai or about. ........ Sixth day of. .. ..............................................o'clock m. of ehe January.... 19 48 * Fire broke out at 5ur *Oo2.. Barrac cs,....Jine...31te,. ,a:;VZ:Kvd...ZCLZZ.......................................... occasioned to the best of my belief by.... That at the said Fire property as specified in schedule endorsed on back hereof, and insured under Policy No.was destroyed and damaged by_Fire according to the values stated thereon ; and I claim the sum of. .. QMS. THO.OSAifO...A*:iU....&i.GHT .PClUiTDS....(iIlQQa.)..................................... ............................................................................................................................................in respect thereof. That there was no insurance other than the above-named current on or extending to cover the said property, or any part of it, at the time of the Fire, snupi..........................jji:...................i.?................. at o* em ....................................... ................................................................................ That the property belonged to-?.^....?.P.iP.ihi....i5l.,lS.f5.?!...R5iflUiing...C!2npaiiy....at the. date UAit^d of che said Fire, and chat ao other party had aay iocerat thereto........................................... __________ That the schedule endorsed on back is a true and faithful account of the actual loss by Fire sustained by............................. under the circumstances named above, kind^ That all the conditions and warranties of the Policy have been complied with. That I have in no manner caused the said loss, or by aay /rood or wilful murtprtstnioiwn sought unjustly to benefit thereby; And I nuke this solemn declaration conscientiously believing the same to be true "The Ewldence Act, 1906". and by virtue of the provisions of the Tata and dtdartd at.................................................... % (Air........................day of............................... in tht ytar of our Lord one thousand nint kundrtd and........................................................ Btfort mt ...............................................]* C 1212 SCHEDULE REFERRED TO ON FRONT HEREOF -iiCR'RTION OF FROFERTY IaMaOED 36STROYSO Sum Jftgv<cc jar Item No.20 of Policy iio. /64603 Aiding Insured - 2<o2 Barracoj nstructioas- Timber Frame Car.site Vails Iron Roof Concrete Floor 950 t respect of Con :ij::"3 Cl50 Y...% *A 1400 .0 fcM 1 22 aecAwitiu'jAMed'-*e*v*tp.< mAyJ?VrlilUntgof f 1400 53 950 53 1008 The Manager , United Insurance CoLtdt PHTH. * ,7* hereby authorise and rscmest you to pay to Thai Australian Blue Asbestos Limited the 3urn of Ono Thousand and Tight Pounds (5100b; hereby agreed n-id acceptod in full satisfaction and settlement of our claim for loss and dagogo occasioned by fire on tha 3ixth cfey or January 194-; to interest insured under Itam "0.20 of out t'qiicy Jo. 12/64603, the receipt of the saidjAustralian Blue Asbestos ^Limited to be a full and sufficient' ac'cno^lcdgenent and discharge of our claim in roipect of such lo3s. C 1213 of Damage and Lou claimed ! 1008 Total Amount SCHEDULE REFEREED TO ON FRONT HEREOF description cp property damaged OR DESTROYED Sum !myf la respect of Item No.36 of Policy No.I2/65350 Interest Insured - Temporary (Single /Jen's) accommodation - Buildings and Contents la respect of Buildings?- Huts Number - 2 both destroyed Construction*- n'alls Uisavcraft Roof Iron 'l?ijs<Aatfcve*t.nuPtmerrcodimLvbdovwmorcta> ;^wu(r 550 Nil 550 Tants Number - 16 6 destroyed Construction:- /alls Canvas Roof Canvas Iron Z'rA Sum Insured in respect of Buildings 300 ;154 a-iou,-.- :.:ar..aarJ 1;0 144 170 604 of 694 In respect of Conten'V* 50 7'i.r).0.3 .10.0;34, Amount olai^ad 57*t2Sil-,o% ,, 01 s. , .-54 43.15.0 G3..'.0.0 The Ifcnaqer, United Imuiance Co.Ltd., ?ifvTH. j Dear Sir, ! ;.'q hereby authorise aid rcqu.it you to pay to TT10 . 'ctralian Blue Asbestc.; ; i^itsd the sum ofJTaro Hundred and Uixty Seven Poundsxand Five Shillings (267.5.0.). hereby asreedl and accepted In full satisfaction ' settlement of our claim for loss and dannr:<3 occasioned ilby fire on the . xth day of January,iy4b to interact insured undiar Xtot.iiSo.36 of!i our Policy No. 12/65350. the reoeiptijof the *pid Australian Bide Asboatos Limited to be a full and suffielfat aconoftledgement and .;i|chcrge cf our claim in respect of such loss, j C 1214 1 Total Amount of Damage and Lou claimed j267.5.u. TO THE GENERAL MANAGER THE UNITED INSURANCE COMPANY LIMITED INCOAPO*AT0 1*4 MOV OtSTM WAJ-C9 George & Hunter Streets, Sydney STATUTORY DECLARATION I, ................... ............................................................................................. do solemnly snd sincerely declare that at or about..............Hlfl-Q............................................................o'clock a* m. of the ......... S5Cts...............................day or.................. January..................................t9 48 i Fite broke out at...... o.ur...KQ*2#...3arrac.ic3.*...aiaa. v/I7IS.N0.0^...GORGS.................................... occasioned to the best of my belief by.............. G.ll'.L'.sJT.n . C;" U3.9 That at the said Fire property as specified in schedule endorsed on back hereof, and insured under Policy No...12/&5350-............ was destroyed and damaged b^_Fire according to the values stated thereon ; and I claim the sum of.........?GIJHD.S...A*iII...FX.7B.............................................................................................. ............................................................................................................................................in respect thereof. That there was no insurance other than the above-named current on or extending to cover the said property, or any pan of it, at the time of the Pire,i isiapi......nmmi........................... ................................ ....... 1 .i.ksmu' M."B* j4I*t*OB ........................................ .............................................................................. That the property belonged to.IbH...C.Olcaial...SU^r..aj?.f:i.n.ir*...Go?J,aSy.....at the dace' ' Ualtvd of the said Fire, and that no other party had any interest therein smut*...................... r-.-................................ ' "ii iif That the schedule endorsed on back is a true and faithful account of the actual loss by Fire sustained by......VS..................under the circumstances named above, without including any profit or advantage of anv kind. That ail the conditions and warranties of the Policy have been complied with. That I have in no manner caused the said loss, or by any frond or wilful murtprtstntalion sought unjustly to benefit thereby; And I make this solemn declaration conscientiously believing the same to be true "The Evidence Act, 1906". and by virtue of the provisions of thcMmknkwf>4Me^> Ta/toi and dtelartd at..................................................... this............................. day of...................................... in tht yter of our Lord one thousand nine hundrtd and........................................................ Btfort me ....................................................................... I-P- C 1215