Endorsement to Policy No. 4471-PI-62
attached to and forming part of the policy issued by the Midland Mutual Hail & Fire Insurance Company, Cedar Rapids, Iowa, to the Pinckney County Agricultural Society as named insured.
In consideration of additional premium of four dollars and eighteen cents, the schedule of insured property is amended as follows, effective 12:01 a.m. local time, August 1, 1962:
- Item 14 (carousel, Wurlitzer, restored 1958) — scheduled value increased from $6,800.00 to $7,550.00.
- Item 14(a) (figure, lead horse, hand-carved, A. Brun of St. Louis, named Pearl) — newly scheduled, $750.00.
All other terms of the policy remain unchanged. Endorsement effective 1 Aug. 1962. Premium paid in cash, this office, $4.18.
for the insured — F. Petrie, President, P.C.A.S.
for the Company — H. R. Stutzman, Agent, Pinckney, Iowa.
[in pencil, lower margin, in a different hand:]
ret'd in person 22 Aug 62 — req. cancel re: loss notice — see file 4471-A. — H.R.S.