Gentlemen:



Enclosed we are handing you Policy C 101 effective as of mid-night November 1st, 1921 and if you will mail us your check for $32.49 as per statement, which is now due, we will forward certified official receipt to cover.



Please advise your employees that under the new law all accidents must be reported to you within 48 hours, to receive full benefit.



The State Insurance Fund,

Chas. A. Caine, Manager