Camp Clerk's Official Receipt - Modern Woodmen

Front:
Important Notice-The By-laws of our Society require that your assessments must be paid on or before the last day of the month for which assessment is levied; also, that your Camp dues shall be payable therewith in equal monthly payments. If same are not paid you SUSPEND YOURSELF. the Clerk whenever you change Always give name and address in lettérs, and notify CAMP CLERK'S OFFICIAL RECEIPT Modern Woodmen of America прив 15th day of nought RECEIVED this. from Neighbor_ the sums due from him on the following accounts: Benefit Fund Asst. No..... 4. CTRADESH COUNCIL 22 Form 77-8-21-48M 6. 4/30, 192.3 General Fund dues to. (Which includes installment of 1% cents per month on annual subscription price of 20c for "The Modern Woodman.") Fund dues to. 192, ----, 192, -9 --> (Write name in full) Dues to ____ Advance (Which includes installment of 1% cents per month on annual payments subscription price of 20c for "The Modern Woodman.") Assessments No...... Agro Casey Total, Clerk, Camp No.... $405 $ 752) 480 $---- $___. 192. $.__. 244 "Mailing Clerk, M. W. of A., Rock If you do not receive your official paper each month please notify Island, Ill."

Back:
J да In Wrigher Wyatt Youts /LV 2781 то GAR