Front:
MODERN WOODMEN OF AMERICA.
CLERK'S OFFICIAL RECEIPT.
RECEIVED this. day of.Masf
1909
from Neighbor.
Write Name in Full
the sums due from him on the following accounts:
Benefit Fund Asst. No. 442
General Fund Dues to.
$170
190., $.
Dues to.
190.. , $.
Advance
payments Assessments No..
Total, $70
LLIED PRINTIRE
TUNION
LABEL COUNCIL 22
Clerk Camp No.7390
Form 77
TRADES
IMPORTANT NOTICE-The By-laws of our Society require
that your assessments must be paid on or before the last day of
the month in which assessment is levied; also, that your Camp
dues must be paid in advance before the first day of each quarter,
viz: January 1, April 1, July 1, October 1. If same are not paid
you SUSPEND YOURSELF. Always put name and address in letters,
and notify the Clerk whenever you change address.
Rock Island, Illinois.
If not received, notify MAILING CLERK, M. W. of A.
sessment.
You should receive paper every month.
Watch your official paper for notice of levy of as-
Back:
CANON
MAY 8
4-30P
CITY
1901
1843
POSNAG CARD
MOKINLEY
. O.
Ray
Geyservice
Calif
(Botas)
