Proceedings of the Grand Lodge of Illinois - University Library

54 JOURNAL OF PROCEEDINGS j. Nov. 18. 1913.
The visitation of this Relief Committee will be made as soon as
this information is received from all the Lodges addressed with this
communication. If your membership have sustained no loss for which
they need aid, please send a card that we may have the information
from each Lodge addressed.
If you need more application blanks, write for what you need.
Trusting you will give this immediate attention and prompt re-
turns, and with fraternal greeting to your membership, we beg to re-
main,
Sincerely and fraternally,
HENRY A. STONE, P.G.M., Chairman.
H. G. CORMICK, P.G.C., Secretary.
I. C. ABNEY, Ass't Chief Instructor, Treasurer
Address your communications to
HENRY A. STONE, Chairman, Vandalia. 111.
Exhibit "B."
John E. Jennings. Grand Master John H. Sikes, Grand Secretary
Henry A. Stone. P.G.M.. Vandalia, Chairman ]
H. G. Cormick, P.G.C., Centralia, Secretary \ Special Relief Com.
I. C. Abney, Ass't. Chief Instructor, Treasurer J
GRAND LODGE OF ILLINOIS, I. O. 0. F.
Office of Special Relief Committee. Flood Sufferers.
Application for Financial Assistance
from the Grand Lodge, I. O. O. F. of the jurisdiction of the State of
Illinois, for loss sustained by the recent floods. This information to
be secured from the applicant by the officers or a special committee of
Lodge No I. O. O. F. of
Illinois, and forwarded by mail to Henry A. Stone. P.G.M.. "Vandalia.
111., Chairman of Special Relief Committee.
Name of Applicant P. O. Address
Name and Number of his Lodge
Does he own any Real Estate? State what, and its fair valuation
What amount do you estimate his loss on Buildings?
What amount do you estimate his loss on Household Goods?
What amount do you estimate his loss' on Other Properties?
What is his occupation?
Has he present employment? What income has he? State source
and amount
How much of a family are dependent upon him? State number and
ages