Viewing page 10 of 10

This transcription has been completed. Contact us with corrections.

[[boxed]]
[[preprinted]]
Will Blank
... The Bladensburg Union...
Bladensburg, Md.

^[[April 5-]] 19 ^[[50]]

I ^[[Edna M. Hill]] 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 ^[[Undertaker for funeral expenses]] 
(Relative or Friend)

^[[Undertaker]] 
(Name of Beneficiary)

Philip Broome, Pres.
William E. Burke, Sec.
[[/preprinted]]
[[/boxed]]