AgentLast Coste 37 M Unknown 66 M Laird Ross 46 M PolNum G7K00001 G7K00002 G7K00003 G7K00004 lssAge Gender 63 F Class p N N N PremMode lssDate Issue Date 7/1/2014 7/1/2014 8/1/2014 8/1/2014 Series LevelPeriod Annual Prem Face Amt SubStd M M M M 20140701 20140701 20140801 20140801 20 15 15 15 923.16 748.54 1 ,032.37 615.00 25,000.00 70,000.00 100,000.00 1 1 1 1 RiderFace 100000 RiderPrem: 113}