Receipt from Modern Woodmen of America

Front:
Modern Woodmen of America CLERK'S OFFICIAL RECEIPT. gray RECEIVED this day of. 190 from Neighbor A人 (Write Name in full) the sums due from him on the following accounts: Benefit Fund, Asst. No. (series 190 General Fund dues to.. .)$. 190.-- Advance Duesto 190. payments AssessmentsNo... कर Total, § Ot 200Aces in Don Estras FORM 77. Clerk Camp No. IMPORTANT NOTICE:-The 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 : Jan. 1, Apr. 1, July 1, Oct. 1. If same are not paid you SUSPEND YOURSELF. Always put name and address in letters and notify the Clerk whenever you change received, notify ment. You should receive paper every month. If not Watch your official paper for notice of levy of assess- Rock Island, Illinois. MailinG CLERK, M. W. of A.,

Back:
SMEKINLEY-1901.6 RF.D. THE SPACE ABOVE IS RESERVED FOR POSTMARK. POSTAL CARD. OFT AMERICA 1843- Jag 777 +0 VOE-S NOS 61 Route 6. &ョ ESTON amore Carleston CHAR Campbell)