COMPUTATION OF RESERVE
 

Liability

Workmen's Compensatioi
Total

Total 3rd period

Grand Total
 

AS COMPUTED BY T
 

ent* jncltiduiK           ,      ratio
 

liability

Workmen's Compensation
Total

Liability

Workmen's Compensation
Total
 

NONE
 

Id be inclgded with "Lt
 

mt" lU pkjmenta for flrst aid and medical
itn "L06H expenses" all payment! for lesal *»n«w»«  iwlm
iph and telephone charffOB, poetare. ealsrtee sri
-------.... /aimBorareunaUocil"'     ■■■—"
 

^jyrnentd are allqcAted to specific c^ims or are unujocatad.   All miaJlocatod paymanta, _

tribuled according to column Y in Ihe Schedule of Loea Paymento on page an.   Are tJiey »

;e) tTEOeschforthoM for the years of 1906 to 1915. but $1,1)00 esch for those lor the yesrs prior

;f) Ths percentage to be uaed in Ckil. 16 -- ■'- -'-'-J - '•-'  '■ "■-— "j -j-j .- - --- ■ — ■•--
 

Are tbey so returned in this statement?   AttMwer......................

acjamoff »ivciwy'B and witness fees and court cost*, salariea and expenses of investigat<irs. sdjusi
tf office employees,  home office eipenses and all other paymenis under or on account of such inj'
 

(e) Carry.in for year
 

whidiever is greater, and for the yean