Tobacco Documents Online

THE TOBACCO INSTITUTE 1z 1875 1 STREET. NORTHWEST WASHINGTON, DC 20006 THE RMaC lONAI BANK uM. - 7w" 3984 W"SM+OffTOM. o.C. CHECK NO. CHECK DATE AMOUNT 003984 PAY IN DOLLARS TO nmEOROeaOF gf,h Thousand siQht guadr.d and no/100 US acllar. AZrXa nrn =asvRaNCS ~ AxNu7Tr COMANr 151 83a1gniaTOY AV= 811ATFOitD. CT 6156 H'00 3984w 40 5 40000 301: L 2•08 2 L9 7 5 2r' DETACH BEFORE OEPOSITINO NO OTHER RECEIPT REQUIRED 02/05/93 i ILL THE TOBACCO INSTITLJTE 00026 02/05/93 003984 1875 1 STREET, NORTHWEST WASHINGTON, DC 20006 w . . . 02/05/93 AZ13 93 85.800.00 $5.8 .00 . .• ® ® TWF TnR 4CC0 INSTITUTE. INC. ® AMOUNT TICT 0011551 $ ••*•+5.800.00

/Etna CONTRIBUTION ' IMARY Aetna Life urance and Annuity Company Accountiny „ontrol, Cashiers, RSMA 151 Farmington Avenue Hartford, Connecticut 0 615 6-12 61 BILLING GROUP NUMBER K 587 BILLING GROUP NAME THE TOBACCO INSTITUTE INC W.A. ADAMS SR VICEPRES 7 ELK ST ALBANY NY NAME CHILCOTE SAMUEL D CONTRACT NUMBER 520346899 12207-1023 FREQUENCY CONTRIBUTION REMARKS MONTHLY 5,800.00 TICT 00 o8s RETAIN FOR YOUR RECORDS PAGE 1 I . TOTAL PoNTPJBUTrcros 5,800.00 11552 - IIIIMY~IIIIIVIYIIIIY~IIYIYNII

/Etna CONTRIBUTION VIMARY Aetna Lif( ~urance and Annuity Company Accountiny ~ontrol, Cashiers, RSMA 151 Farmington Avenue Hartford, Connecticut 0 615 6-12 61 BILLING GROUP NUMBER K 587 REMITTANCE DATE 02-01-93 DATE PRODUCED 01-08-93 Please remit payment as identified in attachment. If any changes are necessary, please make them and indicate if permanent in the REMARKS column. Note: your next Contribution Summary may not include these changes if it was printed before this Contribution Summary's payment was received. IT'S EASY TO AUTOMATE YOUR CONTRIBUTIONS...... IF YOU HAVE 50 OR MORE PARTICIPANTS (OR EXPECT TO) AND HAVE A MAINFRAME, PC OR PAYROLL SERVICE, YOU CAN EASILY TAKE ADVANTAGE OF ONE OF AETNA'S AUTOMATED CONTRIBUTION METHODS. IF YOU WOULD LIKE TO CONSIDER USING A MORE EFFICIENT WAY OF SUBMITTING YOUR RETIREMENT PLAN CONTRIBUTION, PLEASE INDICATE THIS ON THE COPY THAT ACCOMPANIES YOUR CHECK. AN AETNA REPRESENTATIVE WILL BE GLAD TO DISCUSS THE DETAILS WITH YOU AND YOUR PAYROLL OR DATA PROCESSING DEPARTMENT. IF YOU WILL BE SUBMITTING YOUR OWN PAYROLL DEDUCTION REPORT AND DO NOT WISH TO RECEIVE THIS CONTRIBUTION SUMMARY, PLEASE MAKE NOTE ON YOUR REMITTANCE COPY AND RETURN IN THE ENCLOSED ENVELOPE. t THE LOBACCO INSTITUTE ,''INC , W.A. ADAMS SR VICEPRES 7 ELK ST ALBANY NY ANN. CUST. SVS. RS1T SEQ NO. 000780 POCKET NO. 002 12207-1023 TICT 041155 3 INIIIIAl111111h1Y11NIN111111