Front:
M. W. of A. Sanatorium Series
0000-mm. n10
No. 1. GENERAL VIEW
SA
Woodmen, Colorado
Back:
1918 - Fratemal
Clerk's Official Receipt-M. W. of A.
RECEIVED on ...
34. Abouil
Youl
1918.
from Neighbor...
(Write name in full)
the sums due from him on the following accounts.
Benefit Fund-
Assessment No... £.
$1.00
General Fund-
Dues to your Tox 191 $ 40.
(Which includes installment of 1% cents per
month on your annual subscription for THE MODERN
WOODMAN.)
Advance General Fund Payments-
Dues to...
191 $.__
(Which includes installment of 1% cents per
month on annual subscription price of 20c for THE
MODERN WOODMAN.)
Advanced
Assts. No.
Total, $40
No Awtfel.
Clerk....
Form 772-1-17-25M
22
Camp No...t
CONTON
31
FOR ADDRE ONLY
ва увиддино
Sabula.
Md.
U.S.POSTAGE