Front:
Official Receipt Head Clerk's Office, M. W. of A.
Issued at Rock Island, Ill.,...
FEB1 - 1924.
Received of Remitter, whose name appears on the reverse side of this receipt
card, the following sums:
Remittance
Return (excess
remittance)
Remittance accepted
For Certificate
Fees
6. Hines
Social
TRADES COUNCIL 22 Form 449-12-23-20M
Tran. Cards
Signed:
Assessment No.
Per Capita, less subscriptions.
Supplies
Fees.
Per
Capita
Semiannual installments
Subscriptions-"The
Modern Woodman"
Total
J. G. Ray.
Head Clerk, M. W. of A.
کھے
Back:
POSTE
FEB 2
530 PM
15-4
ILL
Province
Mr. b. b. Henry City
Camp
No.
at
AMP
CRE