Front:
eee
M. W. of A. Sanatorium Series
No. 1. GENERAL VIEW
Woodmen, Colorado
Back:
*****
M M
POSTU
Official Receipt
MAR 15 1918
Rock Island, I.,
Received from the party to whom this card is
amounts:
A А
CA
amp
lere
MAR 19
7 PM
1918
Benefit assessment
No.
266 40
Patriotic Fund._.
Per Capita, less install-
ments subscriptions 'The
Modern Woodman”
Mr.
Blost
3.
Supplies ------
tch
Clerk of Camp No. 576, M.W.of A.
Hawood
State? Nebraska
ce}
Certificate fees -
Per Capita, semi-annual
installments subscriptions
“The Modern Woodman
Total
Province
376.76
an Rooh
Head Clerk, M. W. of A.
A MILENCOURAD 22
Form 44912—1-18-80M