[' ', ' ', 'LIBERTY', 'MUTUAL', 'a', 'the', 'company', 'that', 'stands', 'by', 'you', '—', '  ', 'Make', 'check', 'payable', 'to', 'Liberty', 'Mutual', 'and', 'mail', 'with', 'a', 'copy', 'of', 'this', 'invoice', 'to:', 'P.', '0.', 'Box', '6543', 'Church', 'St.,', 'Sta.,', 'New', 'York,', 'New', 'York', '10249', 'Philip', 'Morris', 'Incorporated', '100', 'Park', 'Avenue', 'New', 'York,', 'New', 'York', '10017', 'In_account', 'with', 'LipeRTY', 'MUTUAL', 'INSURANCE', 'COMPANY', ' ', ' ', 'Third', 'Retrospective', 'Premium', 'and', 'Dividend', 'Adjustment', 'Effective:', '1/1/75', 'to.1/1/76', 'We', 'GL', 'AUTO', 'TOTAL', '1.', 'Audited', 'Premium', '$1,357,774', '$167,701', '$331,184', '$1,856', ',659', '2.', 'Retrospective', 'Premium', '1,781,027', '454,284', '439,015', '2,674,326', '3.', 'Previously', 'Billed', 'Premium', '1,806', ',727', '456', ',', '568', '439,690', '2,702,985', '4.', 'Gross', 'Adjustment', '(3', '-', '2)', '25,700', 'cR', '2,284', 'GR', '675', 'GR', '28,659', 'CR', '5.', 'Dividend', 'on', 'Retro.', 'Premium', '267,154', '-', '-', '267,154', '6.', 'Previously', 'Billed', 'Dividend', '271,009', '=', 'a', '271,009', '7.', 'Dividend', 'Offset', '(6', '-', '5)', '3,855', 'DR', '=', 'fy', '3,855', 'DR', '8.', 'Balance', 'Due', 'Insured', '(4', '-', '7)', '$21,845', 'CR', '$2,284', 'CR', '$675', 'CR', '$24,804', 'CR', 'sy', 'o', 'a', 'a', '1/15/81', 'er', '(2)', 'nM', '4', 'Aa', 'Ene)', 'Dp', '‘Pronto', 'NRD-3', 'SPEC']