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Blue paper headed Court King of the Forest, No. 3770 A.O.F, B.U.D., No. 9 dated November 28 1877. To Mr. Lewis, Treasurer. Please pay Abr. Lake or Bearer the sum of 10/- for 12 Days Sick Pay on account of this Court. Signed by James W. Long, C.R., Wm. Rowe, Secretary. Also signed by A. Christensen.
