Front:
JUULI
00
Fif
M. W. of A. Sanatorium Series
2000
No. 2. REAR VIEW
Woodmen, Colorado
Back:
Fraternal 1918
Clerk's Official Receipt-M. W. of A.
RECEIVED on ----
2. 1.: Pealy 1918
from Neighbor.uggleſ.
(Write name in full)
the sums due from him on the following accounts:
Benefit Fund-
Assessment No... 2.
$./00
General Fund-
Dues towar Top 191 $ xo
(Which includes installment of 1% cents per
month on your annual subscription for THE MODERN
WOODMAN.)
Advance General Fund Payments-
Dues to.....
191 $.
-9
(Which includes installment of 1% cents per
month on annual subscription price of 20c for THE
MODERN WOODMAN.)
Advanced
Assts. No.
Total, $/X
H. Aholph.
Clerk.....
Form 772-1-17-25M Camp No. 355.
ALTER PAINTING
TRADESH COUNCIL
22
3-
H. T. Hoegginer
Sobula
Moi
U.S.POSTAGE
