**Johnson & Higgins**

**6 P. O. Box 5890, New York, New York 10047**
**(212) 574-7000**

**INTERNATIONAL BUSINESS MACHINES CORP.**
**ATTN: MR. COSTELLO, DIRECTOR**
**208 Harbor Plaza, P.O. Box 10501**
**Stamford CT 06901**

**BSD NO:** 09281
**MAIL TO:** 23055-00000
**BILL TYPE:** GROSS
**BILL NO:** 257152
**FUNCTION:** 1
**PREMIUM:** 0
**INCOME CALC:** 0
**SHARE:** 0
**CURRENCY:** U.S. DOLLARS
**ORIGINAL INVOICE NO:** 20,937.00
**DATE:** 5/25/88
**AMOUNT:** 20,937.00

**INSURANCE DESCRIPTION - XS MAX PREMIUM**
**POLICY NUMBER:** CGH-32784-7804
**DESCRIPTION:** CAL SURCHARGE
**AMOUNT:** 20,937.00
**CLASS:** 40400
**POLICY:** 40400
**TOTAL:** 20,937.00

**LURICH INS**
**ISSUANCE DATE:** 05/21/89
**EXPIRES:** 05/21/99
**ATTACHMENT:** CGH-32784-7804
**POLICY NUMBER:** CGH-32784-7804
**DESCRIPTION:** DEPOSIT FRESH MAX
**AMOUNT:** 100.00
**CLASS:** 40400
**POLICY:** 40400
**TOTAL:** 100.00

**COMMISSION:** 20,937.00
**TOTAL:** 20,937.00

**MM 009784**