Head Offices, Modern Woodmen of America

Front:
FE LL EEE FEE ko 11 HEAD OFFICES, M. W. OF A., ROCK ISLAND, ILL.

Back:
POST CAR OFFICIAL RECEIPT Rock Island, IAPR 21 1908 Per Capita Supplies... Certificate Fees.... and passed to credit the following amounts: Benefit Ass'm't 80 No.232-3 Total... 7-PM 19 08 Form 449% Received of Mr... test T 25 C. W. HAWES, Head Clerk, M. W. of A. *** 8- Clerk of Camp No... Fach Ceyrier ہے UNITED STATES OF State....... M. W. of A. siell 1:06 FRANKLIN 1790