0000898430-95-002620 Sample Contracts
CONTRACT NUMBER: [XX99999999] CONTRACT DATE: [12-15-1995] OWNER(S): [LELAND K STANFORD] [VICKI L STANFORD] ANNUITANT(S): [LELAND K STANFORD] [VICKI L STANFORD] ANNUITANT'S AGE AND SEX: [43], [MALE] [44], [FEMALE] INITIAL PURCHASE PAYMENT:...Individual Flexible Premium Variable Annuity Contract • December 13th, 1995 • Separate Account a of Pacific Mutual Life Ins Co