32 BULLETIN 530, 17. S. DEPARTMENT OF AGRICULTURE. 



Form for outside of policy: 



No. . 



POLICY 



Issued by the 



Farmers' Mutual 



Fire Insurance Company 



of 



To 



of 



Amount of insurance, $ 



Policy fee, $_, 



Initial premium, 



Total, 



Expires , 102. 



Application taken by 



Title 



