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GOOD, IN COACHES ONLY, (of One Passage within three (S) months In ad' dition to date of sale ikmp#don b*ck Non-transfetable. ^
latkms._________	(>f	n., Pl„.,	Ifewfeh ttt'n
i^VILLE&NAShVILLER.RIQ.
CO;
BAY ST. LOUIS, Miss, to E NEW ORLEANS, La. ^
Good IN COACHES ONLY for Oiro Pasaagt L“ K within fifteen (15) d^ys In addition to dale of sale stamped on back. Subject to tariff regulations.
1/ Id h /i-- ««	-	-
p!!n’!l,RTCardc-
hS? 807
100th ANNIVERSARY
ST I niu«	■CINCINNATI
1 kng^
1850
wso?
LOUISVltLE S NASHVILLE	M m
RAILROAD ■ ;	.	[I|	19
tHATXAHOOCHEr 1
-------a------------------ ------———■ —---------------——— ---------------------------- 	w*~
ORIGINAL	Form	No.	7136
Revised, January, 1927
LOUISVILLE AND NASHVILLE RAILROAD COMPANY OFFICE OF THE COMPTROLLER LOUISVILLE, KY.
NOTICE TO EMPLOYE LAID OFF OR GRANTED LEAVE OF ABSENCE ,	.
..., Occupation.1*^.....................DivX..
In view /af the fact that your name may not ;appear on payrolls subsequent to the
month of—.^rT.............——-............19...., your Group Insurance terminates in accordance
with the terms of your certificate, unless premiums are paid promptly.
If laid off, it is possible that you may return to the service in the near future, and this
insurance will be continued for the month of..^f.........................19...if you will pay
..........., ..,	representing	your	proportion	_pf	premium for one mpnth, on or
title.i«:'. .........|jy—«.........................................................
representing this Company, fe'.autnoriied -to receipt therefor in the space provided below, or, if you prefer, you may .lfemt tfte amount'(^TREASURER, L. S’ N. R. R. Co., Louisville, Ky., by Post Office Money Ord£t> acc^mjssniejllsy duplicate of this form.
If you are laid off and dc*W)t ntijke '|his'f?ayment, it will be understood that you do not wish to continue your insurance,^(n wmicn event, attention is called to the conversion privilege in
your Certificate. If you wish to avail yp^»sety^i||fcch privilege, please communicate with The This notice issued by	Mp'	A.	J.	PHARR,
Prudential Insurance Company	er jfcft/ NcwaAjjfc J., or their nearest representative.
Comptroller,
Title...Vr..£.4<?£...lDate..-:...........C^r.Z.TZ... 19........ «
Receipt is acknowledged "ST the above amount.
LOUISVILLE AND NASHVILLE RAILROAD COMPANY.
Date.
19.
By.