Southern Tier Masonic relief Association Death Assessment 1879

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Assessment No. 147. AGE 56 41 38 41 Secretary's Office, Elmira, N. Y., Dec. 22d, 1879. You are hereby notified that by the decease of the following named Brethren, members of the First Class, you are required to pay into the Treasury of this Association TWO DOLLARS within Thirty Days from the date hereof. Deaths 387 and 388 will be paid from the surplus fund. Southern fior Masonic Relief Association. Tier NAME. TID James Ellsworth...... A. J. Clark...... Wm. R. Grant........ K. J. Chase $2.00 Deaths No. 387, 388, 389 & 390. .. RESIDENCE. Havana, N. Y......... Red Wing, Minn.... New Haven, Ct....... New Haven, Ct........ LODGE AND NO Myrtle. 131...... Red Wing, 8.... Wooster, 79...... Bronchial Consumption...... Feb. Clinton, 47...... Paralysis..... CAUSE OF DEATH. Paralysis.... Pneumonia.. Jan. Sept. Massillon, O....... April If you remit by bank check add fifteen cents, cost of collec- DATE CERTIFIC'E. DATE OF DEATH 2d, 1879 12th, 1879 4th, 1869 Nov. 5th, 1874 Noy. 14th, 1876 Nov. 8th, 1868 Nov. This includes all deaths reported to date. Annual report will be mailed in two weeks. 14th, 1879 24th. 1879. EXPIRES JAN. 22d. H. B. BERRY, Secretary, MASONIC TEMPLE.

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POSTAL CARD, WRITE THE ADDRESS ON THIS SIDE-THE MESSAGE ON THE OTHER U.S.POSTAC ROBT SIMPSON WELL SBORO PA