Document x1X35RBX83jdzQwKnVomGwjKb

TELEPHONES POPraxou'" 7-6600 CLEARING INDUSTRIAL CLINIC 5548 WEST SIXTY-FIFTH STREET CHICAGO, ILL. 60638 Statement of your Account Dec 31 ia77 AMERICAN CYANAMID CO. 4500 W. 15TM ST. CHICAGO, ILL. 60623 Ph*"* PLEASE RETURN DUPLICATE WITH REMITTANCE `"OUT WUITTID $ CY-RI 006583 TELEPHONES POS"0>'1" 7-6600 CLEARING INDUSTRIAL CLINIC 5548 WEST SIXTY-FIFTH STREET CHICAGO, ILL. 60638 Statement of your Account Dec.. 3119_______ZZ_ AMERICAN CYANAMID CO. . 4500 W. 15TH ST. CHICAGO. ILL. 60625 Fhys. PLEASC RETURN DUPLICATE WITH REMITTANCE AMOUNT aCNOTtO S DATE DESCRIPTION CHARGES CREOCIS BALANCE BALANCE *0UGKf fOftWMV 478.00 R00 3J'77 Ca l v in o a v is 5.00 -4 C. 3.00 DEC 577TH f o l l o w in g h a d H YS238.00 FOR ABIL ITY TO WEAR RE SR RATOR PLUS LEAO BLObO TEST- L4 AT SL7 00 EACH : JOE B0YCE/6LYJELL BURTON-/ EARNE ST CROSS/CHESTER AOKO/RAY ie r r in s /j a s . h o o g e / ANDREW HOWARO/CHAS. MA IT IN/LEROY MAYE/CASIHIR PERZ/ FINNEY OEC 7*77 POWERS/CLAUOE R WILLIE LEE"LEAD JRER/SAM TME/JEROME BLOOD 5.0 C + JONES. -7C1.0en OEC 13'77 EDISON MATE Ja me s mc a o o r e JOE BO ICE Je r o me j o n e s JAMES MC AOORY LAUDE RORER 5.0 C C 5.00 5.00 5.00 736^ CAM TATE pLYOELL BURTON OUIS KIXXXMX CA -VIN EARNEST CROSS 51..C0Cc 5..c c LOO lALVIN OAVIS AYMONO HERRINS 5.00 5.C0 /ILLIE LEE 5.00 KOtSON MATE .e r o y ma y e KASIMIR PERZ INNEY POWERS o es-err OC^-P+rTT 5.00 5.00 5.00 5.00 81-lvOO arr'o ) CY-RI 006584 DEBIT . CREDIT NOTE CYAAfAM/D American Cyanamid Company Wayne. New Jersey 07470 ACCOUNTING MONTH NO. d es c r ipt io n Your occounf has boon charged (xuM^d*4ed) lor th following: /* iVo \A CY-RI 006585