Front:
EDITOR F.O. L
VAN GALDER.
PUBLICATION BUILDING-M. W. OF A., ROCK ISLAND, ILL.
Back:
Form 449%-12-08-160M.
OFFICIAL RECEIPT
Rock Island, III.,
JUL 2 ROCK ISLARILL.
7 Pla
Received from the party to whom this
card is addressed, and passed to credit,
the following amounts:
Benefit assessment $
WOOL. W OF A SERIES
2:09
No 202
Mr..
Per Capita
Supplies . . .
Clerk of Camp No.233 M. W. of A.
Certificate fees.
La
fee
Total ..
omtare
Province
Nebraska
950
Head Clerk, M. W. of A.
e views
This geries of 14
cents. Supply
an be obtained for 20
Island, II.