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Show J THE SALT LAKE TRIBUNE, SUNDAY MORNIMJ, OCTOBER 17, 1926. 6 !3MEaiEBKKHia3IZCEBECtK2SZEEBIIIZBI3IK3t BESr.TEEKB3SESSKEEZSEBBSaEZSEEEXSEBEB:2SBaBSBBEflaflBBBnflflBEBSBflflBEBBBBBBIHSBBEBBEBB8BBBBeEBSBEEBBBSBaBBBBBflflaBEB n a & H a a- - n a m N US THE SSf TTAL Ms IPIln(gy ( Part ' K mi One ) For loss of Ilfs, both fggt, both hands, tight of both and sight of one rjri one byhand foot and sight of one ee one hand and one foot, sustained the or disablement railroad passenger car or street, elevated or underground railwaywrecking car passenger steamship or steamboat in or on which the Insured is traveling ad a fare paing passenger, in a place regularly provided forvthe aole use of passengers Not more thsn one of the indemnities specified shall be parable as the result of aay one , aocident The loss of anv member or members shall mean fin ore two three four and Ue loss hr severance at or above the ankle or wrist joints peTta and the losa of sight of eve or shall mean the total and Irrecoverable loss of the entire sight thereof M es pays $3750 For the loss of sight of one erg, or either hard, or either (ort sustained likewise in the conditions t( part one (Part Two For the loss of life both feet both bands sight of both eves one hand and sight of ons ere one foot and sight of one eve one hand and one foot sustained bv the a or disablement of any public omnibus taxicab or automobile stage p'ving frr nubile recking hire which la iesng driven Isor rperated at the time of such wrecking b a licensed driver and in w tuch such insured traveling as a fare pavl g passenger Not more than one of the indemnities specified shall be parable as the result of any ona accident pays $3000 fed Fop the loss of stgh of one eve or either hand In the condit ona of part two ( Part $625 or either foot sustained likewise as speci For Travel Accident Insurance Policy, Issued to Anyone, Anywhere in the United States or Canada, by The (Fill out this application. I Send it with $1.00 to The Salt Lake Tribune , O. Box 887 , Salt Lake City , Utah.) I certify that I am more than '1 years of age, and less than 70 years of age, that I am neither deaf nor blind tend that I am not crippled to the extent that I cannot travel aafely in public place, and I hereby apply for a $7,500 Tratcl Accent Policy in the Federal Life Insurance Company, issued through The Salt Lake Tribune. Answer Each Question in Full. For the loe of life both feet both hand. lht of both' evea on hand and alht of on v one foot and of on- - eve on- - hand and one foot aus'ained a Bv struck or run over -- hi e In sight or ur m a put lie hiyheay h anv publu or private vehicle being lb) B being 13 v struck bv lightning t r tornado Ky the collapsing of the outer wa.ls or c'fhre id) e hv drowning wbi.e at a a building bathing beach or In water adjacent thereto where a life guard ariv staionei f) Fv the burning of a public building in which the insured sha be at the beginning if the f're Not more than one of the Indemnities specified shall be pavabie as the result of any one accident For the Joss of s ght cf one eve or eifer hand or either foot sustained likewise as soeol-fie- d in the cordltions of par fou , i $500 i Salt Lake Tribune (Part Four) pays I $7,500 P. pays $1000 Full Name Print Naim Address Prect In Foil. State Cly Place of Birth Weekly Indemnity for Travel or Pedestrian Accidents 3 a I Occupation Date of Birth (Part fire) pays $20 a Week pays $10 a Week Horn! Writs bare ns ms Ai If the fn.ur-- d .hall be Immediately and wholly dl.abl.il bv lb n. and under tho a act forth In part one or two and be condition n, prevented by Inbiry so received from any and every duly pertaining to her or hta uaual occupation the company will nay 15 "rMcutlve week, accident the of at rat Indemnity twenty do)lrPperreek V eon du tons foEa , l eihVJh ij1" LTJr. t i ,r" ,or n irtootdiJII5itiVitrtm roaaecuttv to "d wholly disabled by tb mean and under the and be prevented by Injury so received from per- or hl ,l'r u,u1 occupation, the company will pay week accident indemnity at the rat of ten dollar P KItt fEBSEEBBBEIEPEBBBEEBBBBIBEEBEIIBBEEEIBBEBEEEIEEEEEEEEEBBEBEIBSBBIEIIB rr o Yo MAIL THIS APPLICATION TODAY! T hree ) n i. H ur Family From 10 to 70 Send the Coupon and $I.G9 Today Insure All Members t motor-drive- as IFM7SS M The receipt of the application and the dollar completes the entire transaction. The policy will be sent to you immediately. The Federal Life Insurance Company of Chicago, selected by The Salt Lake Tribune to issue these policies, has more than $8,500,000 assets and its annual premium income is in excess of $4,500,000. This company has a twenty-six-yea- r record for prompt payment of claims. For lrm if life both fert brth hards sfpht of both evrs one hand and sisrht of one ere ona foot aid ne land and ore foot sus alned b the wrecking or disablement ght rf oe eve rf an vehn.e or car perated b ar.v prlvai larrier or pr vale person in whkh the lnsuru Is 1ing or b being -- cidental thrown therefrem This includes persons riding in or drives automobiles or any other or horse drawn vehicles Not mors than one of the Indemnities specified shall be payable as the result of a rvy ona accident For the loss of sight flf one eve or either hand, or either foot, sustained likewise as sped fled in the cond 'Ions of part three pays $1250 MJKSAMKt lTuai?s j pays $1500 pays a wm amid! rJo Physical Exa animation Required w pays $7500 M nd addrsss of person to whom you want insurants paid ta cas Beneficiary Age you art killed, othsrwlas s It will be paid to your estata. Relationship I NOTICE : Not mors than on policy will b iun ed to any on penon, but member of afamlly may each obtain a policy upon payment of $1.00 with each application. 1 to Sualbssnaliixp to Aaay KevsipauxaE5! ll"llllIIIB"BBBB!aiBBIEBBBiaittMaaaBBBflEBEBEBBBBMBHm! iaiia 'HBBBBBBBBEB |