Physical description

Blue paper headed Court King of the Forest, No. 3770 A.O.F, B.U.D., No. 6 dated October 31 1877. To Mr. Lewis, Treasurer. Please pay John Heller or Bearer the sum of 40/- for 12 Days Sick Pay on account of this Court. Signed by James W. Long, C.R.,and Wm. Rowe, Secretary. Also signed by A. Christensen.