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0.9372. attached to Qraup Roller So. 85TT- baarlac 4at of loon* Mar 2b, IBbO rwrlttac BeeeaBer 1, 19 5$ ood luaurlac taployaea of
___ _ mrat'gos-Mj.ta/.rrA.x. me. (Heralfl called th* isplejrer)
la Barely aoaadad aa ftllm:
Zffactive A^rll 1, 1971.
A. By rtbetltotlng for tba Table appearing on tne flrat page of Acrooant Bora 6.9372* the foliovlnc:
tabu.
OrsiK Boiler So.
Bearing Bate of
Kinds of Xaauraaee OubJeet to thla Arraaoant
All Vlada of lasatnae prorllad wtiat t>o ^-elieir*. UsUd far Suployata cplagrid la tha Halted Stataa* axaopti
8577-6 85T7-0
Kay 29. 19*0 revrlttaa Beecsbar 1. 195$
April 1, 1971
Ufa Zasormaea Accident aad lealth Xaauraaee l&sureaca far Death or Bltaecber-
asat By Aeeldoatal Maaaa
B. By aubatltutlac for ito* (11) la 9ut9i:l (13) on oat* 5 of Jlennnt BOn 0.9372. the fallovlae:
"(U) The date as of vfaleh elthor of Ui Croup itUels* Ik dlsooatlauad vhetber by vrlttca aotleo or cesaatlea of yrestu parucate* lore tha Zasuraae* Co^ujr aod the Isploytr alioll lav* acraoA, prior thereto, that diaeoatiBoasec of tiiot Croup Policy afeall aet offoet dlaeoatiauaitoe of tUi Ajrocaeat '
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1. AcrNMDt nan C.M72. aa aacaded Jkprtl 1, im, shell be UtteM te ao& aad* a part off Oreup Poller Bo. 6577-C Pearlae late of lame April 1, 13T1 aad the prerlsleoa f aaiA Apwemeat shall beeoae affect!e with neyeet to aala Oroup Palis? ao April 1, 1911.
8. no tan "the Oroup Pelier'* obeli be deeaod to aaaa Orevp Poller Bo. 8JT7-0 Paarlaa data of laaua Mejr 89. IP1* rewritten Beceeber 1. 195C and Oroup Poller Bo. 0$7TO Waring date of laaue Arril 1. 1771. led!ritually aad eoUectlealy, wherever aald tan ayreare la Acnoaiit Pen O.V372.
a foragolng amendment la to Bo
0Awcv^^naaifafliai irBaAravootat wniwniQ*
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A*- i**y
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to and made pen ersaMOfoupMley. and to subject to thaaeraemento .ICIj
ace baler tor eoa at MabapeWtoa Uto toaurswaa Oampawy aatfj
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Xbrie, Bsw fart
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T? &
an Ufa taauranos Company.
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