Name/Title
Mr. Stephen H Bull, Chester, Orange, NY July 12, 1852 $4.50 Insurance Policy signed by Ralph SwinburrieEntry/Object ID
001006Scope and Content
Montgomery County Mutual Insurance Company
This Certifies, That Mr Stephen H. Bull
of Chester , in the County of Orange and State of New York
ha s this 12 , day of July , 1852, made Application to
THE MONTGOMERY COUNTY MUTUAL INSURANCE COMPANY, N. Y.,
for Insurance upon the property specified in said Application, to the amount of $ 1000.00 That he
ha s given his Note for $ 12.00 , and ha s paid upon the same $ 3.00 , being 25 per cent. ; and also
$1.50 for a Survey ; and that he will be Insured upon the property specified in said Application for $ 1000.00 for
two years from this date, if said Application shall be approved by the Directors.
25 per cent. paid $3.00
Survey 1.50
$4.50
Ralph Swinburne
Agent.