Henry Atkinson v. George R.H. Clark, Executor of the Estate of William Preston Clark
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Recd St LouisSt LouisDec, 14th 1841 of George R. Clark Excr
of William ClarkWilliam Clark , deceased fifty seven 50/100 dollars
premium on insurance of three thousand seven hundred
and fifty dollars on property of said deceased in
Block. 12. St LouisSt Louis

St & Co.

Duplicate, Original is the policy