This transcription has been completed. Contact us with corrections.
[[boxed]] [[preprinted]] WILL BLANK ...The Bladensburg Union... Bladensburg, Md. ^[[Newark N.J. Aug, 19th]] 19 ^[[38]] I ^[[Clementine, Parker]] hereby request that One Hundred Dollars (100.00) furnished by the Bladensburg Union upon death of an adult member for funeral expenses to be paid to my ^[[Ena. landen my neice]] (Relative or Friend) ^[[Ena, landen 4 Astar St Nwk, N.J.]] (Name or Beneficiary) Philip Broome, Pres. William E. Burke, Sec. [[/preprinted]] [[/boxed]]