W. W. of A Receipt

Front:
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 leved; also, that your Camp dues shall be payable therewith in equal monthly payments paid you SUSPEND YOURSELF. Always give name and CAMP CLERK'S OFFICIAL RECEIPT M. W. of A. RECEIVED this. 12 niv Neighbor, the sums due from him on the following accounts Advance payments Fund Asst. No.. Fund dues to 6 30. ап ht day off al forn 308-30 6-30, 1915, Benefit General (Which includes installment of 12 cents per month on annual subscription price of 20c for "The Modern Woodman." Fund dues to ___ STRADAN com Frase it sext to Clerk 10-14-12Mat Harrisburg (Write name in full) fine , 191, Dues to ___. 191_, (Which includes installment of 123 cents per month on annual subscription price of 20c for "The Modern Woodman.' sessments No. Change. If policy, $150 737 10 $__ U $--- $_-. 191. stailed your policy to Head Can 7J Maisch 30 Total, $..... I Care f... Clerk Camp No. 4 Y notify paper every month. If not received, Clerk, M. W. of Watch your official paper for notice of levy of assessments. You should receive Mailing A., Rock Island, Ill.

Back:
HARRI URG APR 17 156 PANAIK APR 16 6-PM 1915 ** R~ ** CESTO NO Mr. J N Wright Harrisburg Vee и