Front:
Clerk's Official Receipt
R-204
MODERN WOODMEN OF AMERICA
Pro. No.7/ON
Received this, .0 day ofg.
LONG BEACH CAMP, NO. 8269
March
194.
from Neighbor deward
ETAewurd
the sums due from him on the following accounts:
Benefit Fund Assessment No.208Aued /.40
35.
General Fund Dues to.. 30 19/3
.19/3
$...
Arrearage Assessment No..
$........
Dues to......
... ...19....
$....
ADVANCE
PAYMENTS
Assessments No.....
$......
$.7.5
Crobet
Assessments Must be Paid on or before
the Last Day of the Month
Total
Office: 231 First Nat'l Bank Bldg
Clerk Camp No. 8269
IMPORTANT NOTICE-The By-Laws of our Society require
that your assessments must be paid on or befroe the last day of the
month in which the 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, Ćlways put name and address in letters,
and notify Clerk whenever you change address.
Rock Island, Illinois
MAILING CLERK, M. W. A.
not received, notify
ment.
You should receive paper every month. If
Watch your official paper for notice of levy of assess-
Back:
LONGBEACH
MAR 30-15
6-PM
GAL.
E.T. Suvard
R-3 Bot 30
beres balis