Front:
OFFICE OF J. G. RAY, SECRETARY TO HEAD CONSUL, M. W. OF A., LINCOLN, NEBR.
Back:
PW
Form 4494-12-08-160M.
ROCKE
TOTALSOSA
OFFICIAL RECFIPT
Rock Island, 111. MAR 30.191.8
Received from the party to whom this 31 5-12 PM
card is addressed, and passed to credit,
the following amounts:
1910
Benefit assessment $
NO.13 M. W. OF A SEDIA
No.
Per Capita.
Supplies..
Mr. Milli
589
lea
meron
Clerk of Camp No.
M. W. of A.
Certificate fees
Total ...
dilinois
omtarit
State?
Provinces
Head Clerk, M. W. of A.
This series of 14 Head Office views can be obtained for 20
conto. Supply Department, M. W. of A., Rock Island, III.