the New York University Bursar's Office
ORGANIZATIONFIREMEN'S INSURANCE COMPANY OF NEWARK
ORGANIZATION3
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M(1 A..4 IC 1 -ann• . EFTA00187070 NAME EPSTEIN, JEFFREY BORN: 1/20/53 DATE OF REPORT 5/3/76 This will supplement our report of 4/28/76. At the New York University Bursar's Office, MR. BISOTNA advised the following regarding applicant: Initially a check in the amount of $1,080 was received by the University but it was return
es fort it In be completed by the Employee.) Mr., (Mrs. or Miss) Ill€ CONTINENTAL INSURANCE COMPANY KANSAS CITY FIRE AND MARINE INSURANCE COMPANY FIREMEN'S INSURANCE COMPANY OF NEWARK. NEW JERSEY BOSTON OLD COLONY INSURANCE COMPANY COMMERCIAL INSURANCE COMPANY OF NEWARK. N. J. PHOENIX ASSURANCE COMPANY OF NEW YORK NIAGARA FIRE
A_00257546 EFTA01337190 NAME EPSTEIN, JEFFREY BORN: 1/20/53 1365-15-8891 This will supplement our report of 4/28/76. Deka OF WORT 5/3/76 At the New York University Bursar's Office, MR. BISOTNA advised the following regarding applicant: Initially a check in the amount of $1,080 was received by the University but it was return
I T IASI:RANCE Inn. ion is to be completed by the Stop ***** .) ,cm CONTINENTAL INSURANCE COMPANY KANSAS CITY FIRE AND MARINE INSURANCE COMPANY FIREMEN'S INSURANCE COMPANY OF NEWARK. NEW JERSEY BOSTON OLO COLONY INSURANCE COMPANY COMMERCIAL INSURANCE COMPANY OF NEWARK. N 1 PHOENIX ASSURANCE COMPANY OF NEW YORK NIAGARA FIRE IN
—nr,fte CASH PAYASLE . S 3,214.87 EFTA01700795 NAME EPSTEIN, JEFFREY BORN: 1/20/53 1365-15- This will supplement our report of 4/28/76. At the New York University Bursar's Office, MR. BISOTNA ad•. the following regarding applicant: Initially a check in the amount of $1,080 was received by the University but it was returned
IJKANI:E. vc (This fora is to be completed by the Employee-)-) li fE CONTINENTAL INSURANCE COMPANY KANSAS CITY FIRE' ND MARINE INSURANCE COMPANY FIREMEN'S INSURANCE COMPANY OF NEWARK. NEW JERSEY BOSTON OLD COLONY INSURANCE COMPANY COMMERCIAL INSURANCE COMPANY OF NEWARK. N. J. PHOENIX ASSURANCE COMPANY OF NEW YORK NIAGARA FIRE
Entities connected to both the New York University Bursar's Office and FIREMEN'S INSURANCE COMPANY OF NEWARK
Dick Grossman
PERSONBursar's Office
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