Show WM J. J I LYNCH Y CJ I Insurance Agency ene I 4 Fire Life Accident Health al and U Glass Gass block Y A ANNUAL UA STATEMENT i For the tIme year ear cn ending ln December cr 31 1 11 lOOt 1900 of o time Iho condition con of the tie Insurance Providence Washington I ance alice Company r. r L 1 Name me Name and m location of oC time the company 4 Providence Iro Va Washington Insurance company compan Pro II n. I. I 2 2 Name alc of or president Pro cl t J. J II n. Branch r 3 Name 3 Name of secretary A. A G. G G heals Beals h- h 4 Time Tho Tho amount of Us its capital capitals s stock Is Is 10 5 The 5 The amount of or Its capital stock paid pai up is Is Is K OMOO W 6 Time C-Time Tho amount of or Its is assets as as- sets t Is 1 7 Time 7 Th i amount of Us Hs ts liabilities lahl- lahl L th ties t including capital I Is S. S I I S Time S-Time S The amount of its is Income I during time the preceding calendar cal cal- year eal 0 Time 9 Tho amount of I Us its cX expenditures expendi expendi- nr- nr tun tures turin during the tho preceding ln i 1 f t year eat I 10 The 10 Thc Tho amount of or IO losses paid pal the preceding calI calendar cal cal- i r I r year car N 1 21 r 11 Th l-Th Time 11 The amo amount nt of risks written written writ writ- ten t n during the time year year car SG rO The of h o r k In I T td V s force at the tho end nd of time I year r I s State 0 of U ah Office of Secretary of I State Stat ss S. S T J Charl Charles g S. S c secretary of or state slate of or the state of or Utah do hereby I that the time above c named Insurance In e company com ha has In urn detailed filed r r pany pan m my a j statement of Us its Is condition time the statement has been prepared pre pre- i 1 LIT t. t pared and that the said al company has hasIn In nil all other r respects sp complied with kith the f laws of or the state sate relating to insurance j t In testimony whereof 1 have o hereunto here here- unto set ct 1 my amy hand hant and amid nI affixed th time tho great greata a seal of or tho the state of f Utah tah this day dar of or April Il A. A D. D 1907 e- e I Seal Seni C. C H. H Secretary of or State State |