Physical description

White piece of note paper from William Hosking. - To the Officers and Bretheren of Court King of the Forest No. 3770. I hereby declare myself of the Sick Fund of the Court, considering myself able to follow my employment, as witness my hand this day of September 23. 1867. Signed by William Hosking, Iron Bark Hill. Written on the back - to the Secretary of Court King of the Forests.