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,•. <br />i en*n <br />~.~Z <br />rPy. t <br />ENDORSEMENT <br />- ~"~T~•t ^ The tNes M1Un Casualty and •7we1V ~-^"•1•~nV <br />Attached to and made a pert of PDIicY No .....................r.~.........................................................,............... 01 ^ The VJesLLrn Fke Insurance Curnpeny <br />of Foil Scou, Kansan 66701. ~*, I'n,Hit~r7~Ot1 i,'DT FY,i Ei1Cu - 1 1 nY}t'tl ^The Wesl ern Indemnit Cornpan 1'¢. <br />ti', ~:JG V y• <br />n <br />Issued to ..............................................................t.~.:.A. -. ~.........: ~:. ~.!~..•.Sr.......,.f:._f,.ar^..l_::..~........................................................................................... <br />flame of Insured City State and Zip Code <br />Endorse~em ~Eftective....c;~ _ ............................................ End. No. .......... <br />~ •. A <br />~~ ,U v~ LV tv~~'AJ~' '~+'T~ <br />Secretary Authorised Repi sentaGve <br />rC.•:y,,, l~t'TQi:' S a nliIP_;aZ:T <br />1. 1978 Terex Loader r,dl.. 72-SiE ;;69576 $E1,000,00 <br />2, 1580 Join _eerc Rotor Crcder BJD772t,-8236 $96.000.00 <br />3. 197G Terex Froat F.nd LoariP.r u~dl 7271 !'02353 $15,0110.00 <br />4. 1379 FS2-30B Tacex Crzr:Ier Omar <br />5. Terex TS-14C Scraper <br />6. Poi+er Screening Unit <br />7. 4S0 Gardner Dsaoer Ccupreunar <br />8. 37ITW 't•(eseburg Washer <br />869426 <br />c't71770 <br />v`2707153 <br />?^5r:£• <br />3~0-7R1-13! <br />T'7fA1, <br />v10~i,000.00 <br />$155,G~0.00 <br />$55,000.00 <br />;45,50.00 <br />$ 2~l.•95.00 <br />$G 13,9: 5.00 <br />All other teems, Innns and provisions of this policy remain unchanged. <br />FORM IOIC~B to-zs-s3 ar. <br />