# Document Image

The document appears to be an insurance premium agreement for the International Business Machines Corp. (IBM). Here is a breakdown of the information:

## Header Information
- **Date**: 5-21-79
- **Policy Period**: 5-21-80 to 5-21-81
- **Premium Amount**: $1,240,914
- **Company Name**: INTERNATIONAL BUSINESS MACHINES CORP.

## Premium Calculation
- **Estimated Payroll**: $14,001,250.00
- **Rates per $1,000 of Payroll**:
  - ($): $18.61
  - ($): $12.052
- **Premium**:
  - ($): $758,680
  - ($): $482,234

## Payment Schedule
- **Date Due**: 5-21-80, 6-21-80, 7-21-80, 8-21-80, 9-21-80, 10-21-80
- **Amount**: $206,819 each

## Signature and Date
- **Signature**: Present at the bottom right corner.
- **Date**: 6-9-80

## Additional Notes
- The document mentions "JOHNSON & HIGGINS" and "CASUALTY DEPT." indicating the insurance company or department handling the policy.

## Footer Information
- **Document Number**: MM 009565

This document outlines the premium payment schedule for IBM's insurance coverage during the specified policy period.