**TO:** Frank Bagnasco

**DATE:** 2/11/80

**INSURED NAME:** Tom

**POLICY #:** 9910310

**DIVISION:** 30

**SOURCE CODE:** 57

**Please be advised,**

We are unable to pay the reinsurer, **Willcox, Baringer**, on this policy, until the following information has been processed. As per our phone conversation 2/10 this information should be on its way.

- Layoff sheet for showing N.E.Re and Mend percent change
- Copy of endorsement effective
- Signed memo referring to
- Copy of cancellation effective
- Other Revised layoff showing Johnson-Higgins premium to be $1280.00
- Correct ceding commission for above mentioned reinsurer

Please give this matter your undivided attention.

**Regards,**  
C. Locow

American Home Assurance  
Reins. Payables Dept.  
P.O. Box 1024  
Manchester, N.H. 03107  
15th floor  
603-669-7103  

**cc:** R. Cota  
**Ex#:** 155