# Audit Adjustment of Premium

**ZURICH INS. CO.**

**DATE:** 0-5-85
**SR:** 54

**AGENCY NO.:** 50-515-810
**AGENCY NAME:** Johnson & Johnson
**POLICY NO.:** CCL 32-78-678-00
**PERIOD OF AUDIT:** 5-21-84 to 5-21-85
**EXPIRATION DATE:** 5-21-89
**DATE (IF CANCL.):** 

| STATE | CLASSIFICATION OF OPERATION | CLASS'N. NO. | PAYROLL, SALES OR OTHER | RATE | PREMIUM |
|-------|------------------------------|--------------|-------------------------|------|---------|
| WRS   | Composite Rated Payroll S E |              | 8,995,353,846           | .22586 | 2,031,691 |
|       |                              |              |                         | .01505 | 135,380 |

**NAME AND ADDRESS OF INSURED:**
International Business Machines Corp.
Armonk, NY 10504

**TOTAL:** 2,167,071
**LESS DEPOSIT OR OTHER CREDIT:** 2,173,057
**ADDITIONAL PREMIUM:** -
**RETURN PREMIUM:** 5,986

**DATE:** 9-4-85
**nz/d/mjg:** 9-4-85

**MM:** 009813
**AGENTS COPY**