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DYDD IAU. I I

DYDD GWENER

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DYDD SADWRN.

PROFIAD I

I NANSI LLOYD, I

FFWLBRI, FFWLBRI!-I

HIRAETH A GOBAITH. I

COFIWCH Y MORWYR..I

PARHAU YN DDIFFYGIOL. I

I YMENYDD YN NOFIO.I

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COUPON INSURANCE TICKET, Applicable only within the United Kingdom. GENERAL -ACCIDENT, FIRE AND LifE Assurance Corporation, Lid. Chief Othceb- GENERAL BUILDINGS, PERTH, SCOTLAND. GENERAL BUILDINGS, ALl). WYCtl, LONDON, W.C. F. NORIE-MILLER, J.P., Geaenk Manager, To whom-Notice of Claims under the following conditions must be sent within seven days of accident. £100 ONE HUNDRED POUNDS wiil be paid by the abort Corporation to the legal personal repr. sentatives of any person who is killed fct an accident causing material damage U the passenger train in which the t1 waa travelling ac a ticket bearing « paying passenger, or who sban have beft fatally inj ured thereby, should death ht suit within one calendar month aftw such accident. Provided that the peM so killed or inj ured ha<i upon hie or htl person or had left at home this oouooa, with his or her usual signature, writta. prior to the accident, in the spm pm voded below, which, together with to* giving of notice within seven days to U, above Corporation is the essence of this contract. Thia Insurance only applies to psmma over 14 and under 66 years of ap, it subject to the conditions stated above and contained in the General Accident plim and Life Assurance Corporation Act 1907, and holde good for current ism* only, No person can recover under mar* than one Coupon Ticket in respect of bho same risk Signature This Coupon must not be out oat, Mt left intact in the "Dinesydd Cymreig" m that, being dated, forms the only evide&e.

IIUNDEBAU LLAFUR A'R MILWYR.

I"ERIO Y GERMANIAIP.

DIGWYDDIADAU ANFFOR. TUNUS.

DYDD MERCHER.I