Merchants' Insurance Company/ of Hartford.|No. 4412|Hartford, Novr 9 1877|The Charter Oak National Bank.|Pay JP Foster or order/ Nine 53/100 Dollars.|$9.53|Jas P Foster: Washington bust left
(without grace) after date - promise to pay to the order of/ _/ Dollars/ at _ without defalcation for value received/ This note is given for premium on policy No. _ for $Amount of Policy issued by THE FIDELITY MUTUAL LIFE/ INSURANCE CO. and if not paid at maturity, it is expressly agreed that the above numbered policy shall be ipsofacto/ null and void, without notice to the maker hereof and without any act on the part of the Company, and/ shall remain so until reinstated as provided by its terms. It is expressly agreed and understood that if a/ suit be instituted to recover on this note, the maker hereof shall be additionally liable for costs/ and attorney's fees of ten per centum of the face value.|THEO. LEONHARDT and SON, PHILA|FORM 163-2-1902 7 TH ED (B.)
