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[[preprinted]] [[boxed]] WILL BLANK ... The Bladensburg Union... Bladensburg, Md. [[/preprinted]] ^[[August 1st]] 19 ^[[38]]. ^[[Will Blank of Daniel Fortune]] [[strikethrough]] hereby [[/strikethrough]] request that One Hundred Dollars (100.00) furnished by the Bladensburg Union upon the death of an adult member for funeral expenses to be paid to [[strikethrough]] my [[/strikethrough]] ^[[Daisy Fortune or H A Dunningto]] (Relative [[strikethroug]] or [[/strikethrough]] ^[[&]] Friend) [[signature]] ^[[Hattie Dunnington]] [[/signature]] (Name of Beneficiary) Philip Broome, Pres. William E Burke, Sec. [[/boxed]] [[/preprinted]] [[Circular seal, embossed twice]] THE BLADENSBURG UNION FOUNDED 1870 MARYLAND [[/seal]]