**Insurance Bill**

- **Count Number:** 23055
- **Insured Number:** 20000
- **Date:** 5/12/81
- **Request Accountant:** R Michel
- **Bill To:**
  - Name: International Business Machines Corp.
  - Attn: Mr. J M Costello, Jr., Dept
  - Address: c/o Orchard Road
  - City: Armonk, N.Y.
  - ZIP: 10504
- **Policy #:** GA 2906923
- **Renewal of Policy:** Same
- **State(s)/Location of Operation:** All States
- **Name of Carrier:** Zurich Ins Co.
- **Agent:** Direct
- **Location of Agent:** New York
- **Type of Insurance:** Comprehensive General Liability
- **Installment Deposit:** $206,414
- **# of Installments:** 6
- **Installment Periods:** 6 months
- **Premium for Period:** $1,238.449
- **Gross:** (Less Work Comp.)
- **Premium Discount:** 
- **Net Premium:** $1,238.449
- **Tax (Specify):** 5.0
- **Commission (Specify):** 
- **Payable In:** (Specify)
- **Currency:** 
- **Checked By:** 5/12
- **In Billing:** 5/13

**Comments:**

MM 009560