**JOHNSON & HIGGINS**
NEW YORK, INC

ESTABLISHED 1845
INCORPORATED 1899

INSURANCE BROKERS - AVERAGE ADJUSTERS
EMPLOYEE BENEFIT PLANNING
95 WALL STREET • NEW YORK, N.Y. 10005
TEL. (212) 482-2000

**AMERICAN HOME**
(NATIONAL UNION FIRE)
70 PINE STREET
NEW YORK N Y 10005

CLIENT NO. 10050-100
INVOICE NO. 300-00005
BILLING DATE 4/16/80
AMOUNT 1,280.00

ACCT: INTERNATIONAL BUSINESS MACHINES
PAYABLE UPON RECEIPT, ATTACHMENT DATE,
OR INSTALLMENT DATE, WHICHEVER IS LATEST

| INSURANCE DESCRIPTION | DEPARTMENT | J & H CONTACT | AMOUNT |
| --- | --- | --- | --- |
| NYIE | CASUALTY | MICHEL R | 1,280.00 |

| INSURANCE COMPANY | DATES | POLICY NUMBER | DESCRIPTION | AMOUNT |
| --- | --- | --- | --- | --- |
| NYIE | ATTACHMENT | EXPIRATION | A800764 | 1,600.00 |
|  | 05/21/80 | 05/21/81 | LESS | 320.00 |
| FACULTATIVE REINSURANCE FOR IBM |  |  |  | 1,280.00 |

TOTAL → 1,280.00

4014-A 11-78
JOHNSON & HIGGINS
95 WALL STREET • NEW YORK, N.Y. 10005