Block · one region of the page, as the scanner read it. It may hold a whole story, part of one, several, or an advertisement; stitching blocks into articles is the next step. Text is supplied OCR.
Page 4 · column 2 of 3 · from the scan, no model involved
ZIP Code ..
Please bill me for this coverage every Q 2, □ 6, or Q 12 months Are you now n YES | Blue Cross a Blue Cross w Plan of__ member? LJ NO (city or itate) under Contract Number . _ If Blue Cross group coverage,. _ __ give group’s name and address: _____. _ Do you have □ Spouse under 65 [~| Unmarried dependent children under 19 CHECK ONE □ I do not have other health care coverage except that provided by the Federal Medicare program. □ I have other health care coverage to supplement the Federal Medicare program with:
70.2%