Modern Woodmen of America

Front:
Important Notice--The By-laws of our Society require that your assessments, including Patriotic fun from and after September 1, 1917, must be paid on or before the last day of the month for which assessment is levied; also, that your Camp dues shall be payable therewith in equal monthly payments. If same are not paid you SUSPEND YOUR- the Clerk whenever you Always give name and address in letters, and notify change address. SELF. STRADAS HAN COUNCIO 22 CAMP CLERK'S OFFICIAL RECEIPT Modern Woodmen of America RECEIVED this from Neighboring het. the sums due from him on the following accounts: (Write name in full) Benefit Fund Asst. No.. Patriotic Fund Asst. due with each Fund dues to ____ General (Which includes installment of 1½ cents per month on annual subscription price of 20c for "The Modern Woodman.") Fund dues to_ Form 77- U the Advance payments Assessments No. 12-17-48M go of Jany --) ---, 191, 191, Dues to ____. --, (Which includes installment of 1% cents per month on annual subscription price of 20c for "The Modern Woodman.") Moderg Patriotic Fund Asst. with each Ben. Asst. as above, Benefit ass, 1918..., Benefit assessment, as above, ا۔۔۔۔ Gro Carry --) Total, --, 191.0 $..25 $ 20 $..25 $__ $__ $150 $ 40 $360 Clerk Camp No. 244 W. notify "Mailing Clerk, M. of A., Rock If you do not receive your official paper each month please Island, Ill."

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J ди CENZ ФРАЗ RFA 3 Вих1 31 за N. Wright 1913 JEFFERSO starrisbury ви Iue