FORM No. 42-C
(See Chapter XVIII, paragraph 385)
—————Department.
———————Office.
Schedule of deductions on account of subscriptions to Postal Life Insurance for the month of—————
|
Number of policy |
Number of subscriber |
Period of pay bill |
Amount recovered |
Remarks |
|
1 |
2 |
3 |
4 |
5 |
Signature—————
Designation—————