**PREMIUM ACCOUNTING**
NOT APPLICABLE

**ACCOUNTS CORRECTIONS**

**DEBIT - A/P**

| PRODUCER CODE | EFF. DATE | GROSS | COMM. RATE | REASON |
|---------------|-----------|-------|------------|--------|
| 7875          | 5/21/82   | 154,978.00 | 12.5 | Please, Code To Correct Comm. As 12.5 See memo Attached |

**CREDIT - R/P**

| PRODUCER CODE | EFF. DATE | GROSS | COMM. RATE | REASON |
|---------------|-----------|-------|------------|--------|
| 7875          | 5/21/82   | 154,978.00 | 10.0 | Please BlO Incorrect Comm Rate |

**DATE:** 12/14/82 **NAME:** K.B. **APP. BY:** B.

**REINSURANCE**

**NOT APPLICABLE**

**DEBIT - A/P**

| REINS. CO. | EFF. DATE | GROSS | COMM. RATE | REASON |
|------------|-----------|-------|------------|--------|

**CREDIT - R/P**

| REINS. CO. | EFF. DATE | GROSS | COMM. RATE | REASON |
|------------|-----------|-------|------------|--------|

**DATE:** **NAME:** **APP. BY:**

**Form 20793 (6/78)**