Front:
777
M. W. of A. Sanatorium Series
No. 1. GENERAL VIEW
Woodmen, Colorado
Back:
VES
OFERTA
KOSTAGS
20
AUG 20
...., 19...CONN
ro
1931
RECEIVED on
from Neighbor
(Write name in full)
the sums due from him on the following accounts:
Benefit Asst. No.
bacon
270
20
A Schucom
To Norwaly
Dues to..
19
per month on annual subscription for THE
MODERN WOODMAN.)
Other Payments
ADVANCE PAYMENTS
Benefit Assts. No.
va
Dues to...
19
per month on annual subscription price of
20c for THE MODERN WOODMAN)
Vellaista
uy
A Total,
370
9.194
Clerk Camp No..
Form 7712–1-31-24M