Physical description

Blue paper headed Court King of the Forest, No. 3770 A.O.F, B.U.D., dated November 28 1877. To Mr. Lewis, Treasurer. Please pay Alf. Clear or Bearer the sum of 5/- for 1 Quarter Doctors fees on account of this Court. Signed by James Long, C.R.,Wm. Rowe, Secretary. Also signed Rec. Wm. Rowe for ?