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- catalog contributor b3331651.
- catalog coverage "United States Virginia.".
- catalog created "1796]".
- catalog date "1796".
- catalog date "1796]".
- catalog dateCopyrighted "1796]".
- catalog description "Bristol B9164".
- catalog description "Shipton & Mooney 47839".
- catalog extent "1 sheet ([2] p.) ;".
- catalog isPartOf "Early American imprints. First series ; no. 47839. mic".
- catalog isReferencedBy "Bristol B9164".
- catalog isReferencedBy "Shipton & Mooney 47839".
- catalog issued "1796".
- catalog issued "1796]".
- catalog language "eng".
- catalog publisher "[Virginia? : s.n.,".
- catalog spatial "United States Virginia.".
- catalog spatial "Virginia.".
- catalog subject "Fire insurance Virginia.".
- catalog subject "Insurance companies Virginia.".
- catalog title "Form of the declarations for assurance : I the underwritten [blank] residing at [blank] in the county of [blank] do hereby declare for assurance in the Mutual Assurance Society Against Fire on Buildings of the State of Virginia, established the 26th December, 1795, agreeable to the several acts of the General Assembly of this state, to wit ...".
- catalog type "Blank forms. rbgenr".
- catalog type "text".