This transcription has been completed. Contact us with corrections.
[[boxed]] [[preprinted]] WILL BLANK ... The Bladensburg Union... Bladensburg, Md. [[stamped]] JUL 14 1938 [[/stamped]] ^[[July-14]] 19 ^[[38]]. I ^[[Chas. T. Mitchell]] hereby 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 my ^[[Wife & Sister $75.00]] (Relative or Friend) ^[[For nter Funeral $25.00 goes to Name [[?]] ]] [[signature]] ^[[Chas. T. Mitchell or Mr [[?]] J.W. Wathier[[?]] ]] [[/signature]] (Name of Beneficiary) Philip Broome, Pres. William E. Burke, Sec. [[Circular seal, embossed once]] THE BLADENSBURG UNION FOUNDED 1870 MARYLAND [[/seal]] [[/preprinted]] [[/boxed]]