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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
and Under State Supervision

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FOR

SANMETTO Genito-Urinary Diseases

A Scientific Blending of True Santal and Saw Palmetto
in a Pleasant Aromatic Vehicle.

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.
L. GARRETT
PRESCRIPTION DRUGGIST

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

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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,

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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 not written or printed herein.

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..School of Medicine; and have been duly Registered and Licensed to practice

Certificate No..

.from the..

I agree that this contract shall not cover suits for damages in which services were rendered while under the influence of liquors or drugs. I agree to notify the Company at once by telegraph or telephone when demand is made, or suit commenced for damages, and will not make nor contract any expense without the written authorization of the Company, and will contribute my own time and assistance in defense of the case without charge to the Company.

I warrant each and all of the statements made herein to be true and complete. I also warrant that this application has been made and written by myself or duly authorized agent and that I understand its provisions

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CAPITAL STOCK
$100.000.00

INCORPORATED UNDER THE

LAWS OF INDIANA.

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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 fail 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 has caused this contract to be signed by its president and secretary and its official seal attached hereto in Fort Wayne, Ind., this.

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dag

Secretary

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