HomeMy WebLinkAbout000231.tiff CCam OS� C'N`zcw. EMPLOYERS LOYERSMODERNMUTUAL LIFE COMPANY4MPANY M
�i EMPLOYERS COMPANY s s_x
DES Morris EMCASCO INSURANCE COMPANY D;','-±1,
D l( 4, , '" }r '
MAR 81989
CHANGE NOTICE
To be attached to Bond No. S12 41 68 and form a part of the Schedule thereof.
Notice No. 1 Date March 1 19 89 .
The EMPLOYERS MUTUAL CASUALTY COMPANY is hereby requested to make the following changes in the schedule of
this bond, as of the respective dates indicated:
ITEM DATE OF NAME Premium Premium
NUMBER CHANGE (Omit Names If Position Bond) POSITION LOCATION AMOUNT Debit Credit
t
Addition
1-5-89 Susan E. Sanders Deputy D. A. Greeley, CO $ 5,000.00 NIL
Deduction
1-5-89 Linda Kaufman Deputy D. A. Greeley, CO $ 5,000.00 NIL
Addition
1-5-89 George Kennedy County Commissioner Greeley, CO $25,000.00 NIL
Deduction
1-5-89 Frank Yamaguchi County commissioner Greeley, CO $25,000.00 NIL
Addition Vice Chdlt WWI —
1-5-89 Ella Mae White Housing Authority Greeley, CO $25,000.00 NIL
Deduction Vice Chairman —
1-5-89 Erich Spitzer Housing Authority Greeley,CO $25,000.00 NIL
Addition Housing Authority
1-5-89 Bert R. Dieck Comm. Greeley,CO $25,000.00 NIL
Deduction
1-5-89 Beverly Miller Housing Authority Greeley,CO $25,000.00 NIL
Addition
1-5-89 A.M. Domiguz, Jr. District Attorney Greeley,CO $ 5,000.00 NIL
Deduction
1 S-89 Stanley Peek District Attorney Greeley,CO $ 5,000.00 NIL
Addition
Deduction
Addition
Deduction
Addition
Deduction
Addition
Deduction
ACCEPTED:
EMPLOYERS MUTUAL CASUALTY COMPANY Weld County
Employer
i By /12/7-4-1t7
Form 7804 Kathy I n ry, for y-in-Fact
^on Y 231
Hello