Front:
OFFICE OF
WOODMEN ACCIDENT ASSOCIATION
MAY 15 1914
Lincoln, Neb.,..
DEAR SIR:
Our records show that you have permitted your insurance to lapse, but we are
pleased to advise that upon receipt of $2.00, which is the amount of one call, the
Secretary may reinstate your insurance from 12 o'clock, noon
SEP 1
1914
on date the same is received at home office to.....
Yours truly,
C. E. SPANGLER, Secretary.
P. S. -Please observe that no charge is made for back payments, but that the
remittance is for reinstatement as above stated.
Form 11
Notify Association if you change your occupation,
RETURN THIS CARD WITH REMITTANCE.
Back:
OL
N.
MAY 15
530 PM -
1914
MEKT
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NI bleven
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