• × Death Benefit #345 - Charles Joseph "Chick" Spicer 1 × $15.75
• × Death Benefit #362 - Ray Monce 1 × $15.75
• × Death Benefit #365 - Fred Shawhan 2 × $15.75
• × Death Benefit #359 - James Hempker 1 × $15.75
• × Death Benefit #352 - Patrick Rohrbach 1 × $15.75
• × Death Benefit #355 - Bill Wetmore 1 × $15.75
• × Death Benefit #350 - Wally Kincaid 1 × $15.75

Subtotal: $126.00

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