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Catalog Number 2017.3.116
Object Name Application
Scope & Content Insurance subscriber application for a hospital service contract with Group Hospital Service, Inc., for employees of Corning Glass Works, Corning, N.Y. The card is perforated with part of it being a deduction authorization. The verso is a form for recording payments and the names of the members of the family group. Printed at the bottom: "Form 205. Rev. Ed. 1-48--8500."
Date Created ca. 1948