Document - ANCIENT ORDER OF FORESTERS NO 3770 COLLECTION: TO PAY
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Blue coupon, dated 187-, asking Mr. Lewis, Treasurer to pay J. H. Smith the sum of £1/5/0 for Insurance of 6 property. Signed by Rich. G. Daniel, C.R., and Wm Rowe, Secretary. Recd Wm Rowe Sect. written at the bottom of the paper.