Front:
Assessment No. 201.
Deaths Nos. 617, 618, 619, & 620.
Southern Tier Masonic Relief Association.
AUG 6.1883
Secretary's Office, Elmira, N. Y., August 11888.ira,
You are hereby notified that by the decease of the following named Brethren, you are re-
quired to pay into the treasury of this Association FIVE DOLLARS within Thirty Days
from the date hereof. Death 617 will be paid from the surplus fund. 4
RESIDENCE.
LODGE & No. CAUSE OF DEATH. DATE CERT'E DATE OF DEATH
Brooklyn, N. Y... Beacon, 283
Apoplexy.
Batavia, N Y....... Hornellsville, 331. Dropsy.......
Mch. 30, 1869 May
July 10, 1876 June
Aug. 19, 1872 June
20, 1874 June
Port Jervis, N. Y... Port Jervis, 328... Consumption...
Bolivar, N. Y....... Corry, 365... Overdose Bromedia. July
AGE
NAME.
52 A. Annan...
-55 S. T. Aldrich..
42 S. L. Bevan..
36 J. G. Foreman
$5.00
..
...
Brother Annan was a member of both classes, and the amount due from
you in the Second Class on account of his death is included in the $5.00. He
joined the Second Class Aug. 9. 1880. This includes all deaths reported in
the Second Class, and all except one in the First Class, the proof of which
is not yet completed.
Membership, First Class, 3,456.
Membership, Second Class, 964.
RE
H. B. BERRY, Secretary,
7, 1883
15, 1883
22, 1883
30, 1883
EXPIRES
Sept. 1.
MÁSONIC TEMPLE.
Back:
YS
POSTAL CARD.
140
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