Dr. Rutledge and Medical Staff Modern Woodmen

Front:
M. W. of A. Sanatorium Series No. 5. DR. RUTLEDGE (CENTER) AND MEDICAL STAFF Woodmen, Colorado

Back:
Official Receipt Rock Island, II., --- JUN 18 1917 Received from the party to whom this card is amounts: 61 NOC 8 PM 1917 ILL Benefit assessments $ No. Per Capita, less install- ments subscriptions 'The Modern Woodman” 97485 2130 Mr Sanatorium Fund Tax... 639 Supplies------ M. W. of A. Clerk of Camp No. 676 Harvard Nebraska ce} Certificate fees --- Per Capita, semi-annual installments subscriptions “The Modern Woodman 13.025% Province Total... prima dikameny 22 Head Clerk, M. W. of A. Form 44912—3-17-80M