**JOHNSON & HIGGINS**

G. P. O. BOX 5890  
NEW YORK, NEW YORK 10087  
(212) 574-7000

ATT MR J COSTELLO DIRECTOR  
209 HARBOUR PLAZA-P O BOX 10501  
STAMFORD CT 06901

**INTL BUSINESS MACHINES CORP**

BSD NO. 31005  
PROCESS DATE 5/24/98  
MAIL TO OVERRIDE  
FUNCTION 1 BILL  
BILL TYPE 1 PREMIUM  
INCOME CALC 1 GROSS  
SHARE 0  
CURRENCY U.S. DOLLARS  
ORIG INV NONE  
SUSPENSE 0  
ISSUE 0  
INSTALMENT PERIODS 0  
DEPOSIT CONTROL NO.

**CLIENT NO.** 23055-00000  
**INVOICE NO.** 3565994  
**DATE** 5/24/98  
**AMOUNT** $350,000.00

**INS CO** 17106  
**POL** 4189BK  
**PAYEE LOC** 131AF099D00K-G  
**COMMISSION PAYABLE** $350.00

**INSURANCE DESCRIPTION - PD. LOSS EGRROM**  
**JAY CONTACT** MITCHEL R  
**DEPARTMENT** CAS.  
**POLICY NUMBER** 4189BK  
**DESCRIPTION** VARIOUS #1  
**AMOUNT** $350,000.00  
**POLICY COMPANY** URICHI INS  
**ATTACH** 0521B90921B7  
**DATES** 05/21/96-05/21/97  
**POLICY NUMBER** 4189BK  
**DESCRIPTION** PAID LOSS FUND FOR 4-BAF327B47904 - MA42970404 - TAP3-295-303 CGL30189105 - CGL327867804 CGL327867804

**TOTAL** $350,000.00

**MM 009652**