Front:
LI
EEE
HAVE STAVET
FEE FEE
BE
HEAD OFFICES, M. W. OF A., ROCK ISLAND, ILL.
Back:
5***6
** *pxxx
MARIY
Benefit Ass m't
No.
Per Capita
Supplies...
Certificate Fees____
12
Total..
ISL
CE MARIZE
X Helic FK J
308
ILL
OFFICIAL RECEIPT
Rock Island, MAR 16 1908
and passed to credit the following amounts:
/LW
Received of Mr.
$ 1435
C. W. HAWES,
Form 449%2 Head Clerk, M. W. of A.
**
Mi
1706 FRANKLIN 1790
6. Vallock
Clerk of Camp No 13 M. W. of A.
Auran
State Wisconsin.
UNITED STATES OF
SEKERN ISORY
