Document MoEjomk5K8jQNdeB1mxDbdG6z
FILE NAME: Metropolitan Life (ML)
DATE: 0000
DOC#: ML131
DOCUMENT DESCRIPTION: List of Met Life Group Insurance Claims, Johnson's Co.
METROPOLITAN LIFE INSURANCE COMPANY
OKDCNAJty F o rc a Acib.itTt'
GROUP NUMBER
4
no.
43 * f
Serial No
nam e op group
J e& M S tta 0 C
D ate
Sex Color A ce
INCURRED
Cause op D eath OR
D isability
I _ C D" | No'
A mount
!
1
1
275 3
$41 74i 791
512
a /a $
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4/12
a /3 .2 7 /^ 3
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1fintini
1
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411 A la ?
.."t n n r\
1 Art
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$5 20
T Ai
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. . . . . . . . . . . . . . . . . . . . . . . . . . ... ..1 1 fififil'
-
277 U6
392 voo iO l ;o e 151
'.52 *74 '1 1
532
3 /2 9 8 /2 9 U /S 9 1 4 /3 9 1 4 / 1 2 /2 9 3 /3 4 /3 0 3/ l d 9 /3 o J
I O / 30J .
B ro i: a S p ia
66 T v a a e r o f l l T r 21 T x ib ertfo lo tfiJ
19 P n * ta io a
21 A a e id sn t 26 P o l l o n i nAt
23 H it b y m r 5 1 Pnm xaonlM 2 5 C a u s a n o t S peci I T I e d
74 C anosr 46 T J3.
............
PENDIUG D IS A B IL IT I
1 6 0 1000 a 1000 5 1 1000
104
500
160 1000
1 9 2 10
160 1C
1 0 4 1 D 00
209 i o
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