Camp Clerk's Official Receipt M. W. of A.

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Always give name and address in letters, and notify the If same are not Important Notice--The By-laws of our Society require that your assessments must be paid on or before the last day of the month in which assessment is levied; also, that your Camp dues shall be payable therewith in equal monthly payments. Clerk whenever you change address. paid you SUSPEND YOURSELF. RECEIVED this from Neighbor.. CAMP CLERK'S OFFICIAL RECEIPT M. W. of A. ...day of... (Write name in full) $. the sums due from him on the following accounts: Benefit Fund Asst. No..... General Fund dues to_ 191.... 191, -> (Which includes installment of 13 cents per month on annual subscription price of 20c for "The Modern Woodman." 191..., 191...., Fund dues to. Dues to Advance payments (Which includes installment of 1% cents per month on annual subscription price of 20c for "The Modern Woodman." Assessments No. Mr Wight. The last dues Precedor чесе 12t Ass 312 how la receipt for till a Form 77- 22 6-15-36M id Clerk Camp No.. $. You should paper every month. If not received, notify Mailing Clerk, M. W. of A., Rock Island, Ill. Watch your official paper for notice of levy of assessments. You should receive

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PANATILE AUG 31 10-AM 1915 *** CIENT In Wright Harrisburg, RFD # 2 dee