Life Insurance Certificate for Carl T. Hayden
Maker
Knights of Pythias
DateFebruary 27, 1908
Mediumpaper
Dimensions8 3/4 x 3 3/4 in. (22.2 x 9.5 cm)
ClassificationsDocumentary Artifact
Catalog number2007.59.1
DescriptionThis life insurance certificate for $3,000 for Carl T. Hayden issued by "The Supreme Lodge Knights of Pythias: Insurance Dept." was provided for lodge members "in good staniding of section 4852." The beneficiary was Nan D. Hayden, his wife, witnessed by R.D. Lane, section supt. Monthly payments were $34.07 based on nearest age (30) first year, then $20.85 until age 65. Page 3 is "Application for transfer to 5th class" from 4th suicide, death induced by drugs or alcohol or criminal action of insured reduce benefit to amount paid so far.
It has green border oustide, blue inside. It is signed by Hayden and Hardy.
Status
Not on viewValley Mutual Protective Association
8/28/1933
Valley Mutual Protective Association
8/28/1933
Valley Mutual Protective Association
8/28/1933
Valley Mutual Protective Association
8/28/1933
Reliable Mutual Benefit Association
5/23/1932