The Investor Who Is Seeking GOOD SECURITY FOR SURPLUS FUNDS SHOULD CONFER WITH THE CITIZENS TRUST CO. FORT WAYNE, INDIANA CAPITAL, $200,000 Organized Uuder the Laws of the State of Indiana FOR SANMETTO Genito-Urinary Diseases A Scientific Blending of True Santal and Saw Palmetto A Vitalizing Tonic to the Reproductive System. SPECIALLY VALUABLE IN PROSTATIC TROUBLES OF OLD MEN-IRRITABLE BLAD DER-CYSTITIS-URETHRITIS-PRE-SENILITY. Dose:-One Teaspoonful Four Times a Day. OD CHEM. CO. New York. EDWARD L. GARRETT AND MANUFACTURER OF 135 East Berry St. FORT WAYNE, IND. "KOUMISS" OR MILK WINE The Most Perfect Medical Food Known THE OLD NATIONAL BANK OF FORT WAYNE, INDIANA CAPITAL, SURPLUS and Undivided Profits, $500,000 WE SOLICIT NEW BUSINESS CONFIDENT THAT OUR FACIL. ITIES AND RESPONSIBILITY are both ample and OUR TERMS THE MOST LIBERAL CONSISTENT WITH MODERN AND CAREFUL BANKING ✰✰ J. H. BASS, President. C. H. WORDEN, H. R. FREEMAN, J. H. ORr, Physicians Defense Company Fort Wayne, Indiana not written or printed herein. For a Defense Contract for *Medical and Surgical and Dental Services, and I understand and agree that said Contract shall be based upon the following statement of facts and agreements; and that the Company shall not be bound by statements made by any agent or broker My full name is. City of... . Office No. .County of.. .State of. in the year. .St. I practice under the. Certificate No.... in this county, under the Laws of this State. and written by myself or duly authorized agent and that I understand its provisions Date. 190... (Applicant's Signature).. * Cross out professions not practiced. Received H. O. Issued CAPITAL STOCK FORT WAYNE, INDIANA Im Consideration of the written and printed application, which is hereby made a part of this contract, and the sum of Twenty Dollars receipt of which is hereby acknowledged being the consider ation for one year's defense and the further payment of Twenty Dollars annually in advance on the of each year during the life of this contract THE PHYSICIANS DEFENSE COMPANY hereby agrees to defend County of -day' of of the City of State of against all civil suits for damages for malpractice, based on services rendered during the term of this.con act and to pay all the cost and expense of defend ing such suits not exceeding FIVE THOUSAND DOLLARS in defense of any one suit, nor exceeding in the aggregate TEN THOUSAND DOLLARS indo fense of suits based on services rendered within one year from the date of this contract or within any one year for which this contract shall be so newed all in the manner and upon the conditions herein below stated, to wit: Immediate notice by telegram, must be given the company at the Home Office at Fort Wayne, Ind., and followed by written notice, giving full particulars of suit brought against the holder hereof. Upon receipt of notice from the older hereof that a suit has been commenced against him for damages for civil malpractice, the company will send its representative to the holder hereof. The company's representative and the holder bereof shall make a selection of a local attorney, who, together with the company's attorney, will defend the case without expense to the holder hereol. Such defense will be maintained until final judgment shall have been obtained in favor of the holder hereof, or until all remedies by appeal, writ of error or other legal proceedings shall have been exhausted, or until the sum of Five Thousand Dollars shall have been expended in the defense; provided said company shall not be under obligation to expend more than Ten Thousand Dollars in the aggregate in the defense of suits based on services rendered during the original one year term or any renewed one year term of this contract. The company shall not settle or compromise any suit or claim for malpractice against the holder hereof which it is bound by this contract to defend, except by the consent of the holder hereof, and then only at its own cost and expense. Said company does not obligate itself to pay or to assume or to secure the payment of any judgment rendered against the holder hereof in any suit defended by it. No suit or claim will be defended by this company in which the cause of action arose previous to the date of this contract. This contract does not cover criminal prosecutions nor suits for assault, criminal abortion, foeticide, homicide or other criminal act. The company may cancel this contract at any time upon written notice mailed to the holder hereof, and the unearned portion of the consideration shall be returned to the holder hereof. This contract does not take effect until the consideration therefor shall have actually been paid to the company or its authorized agent; but if the holder shall have paid such consideration and shall have received from the company or its duly authorized agent a memorandum certifying such payment and that the contract is to be subsequently delivered, then this contract shall be dated as of the date of such payment and shall be in force and effect from that date. If a note shall be accepted for the consideration of this contract or any part thereof, and the maker thereof shall fall to pay the same at maturity, the company may at its election, to be exercised at any time after non-payment of said note at its maturity, treat this contract as forfeited, and return such note, and in that case this contract shall be null and void from the beginning, and any part of the consideration theretofore paid shall be forfeited to the company. No renewal of this contract shall take effect or be in force until the consideration therefor shall have been paid to the company or its duly authorized agent. This contract shall be void if the application signed by the bolder shall be in any particular untrue. This contract is renewable only upon payment of the annual consideration in advance at the Home Office in Fort Wayne, Ind., or to an authorized agent of the company, in exchange for the company's receipt, signed by the president and secretary and countersigned by the agent. No consideration or agreement, contained in this contract, or application for same, can be waived or altered in any manner by any person, other than the president or secretary in writing endorsed hereon. In Witness Whereof, The Physicians Defense Company bas caused this contract to be signed by its president and secretary and its official seal attached hereto in Fort Wayne, Ind., this..... Secretary |