The Manual of the Mother Church
Mary Baker Eddy

- MAN 115: -

 Application I - (Continued)

PROPERLY SIGNED AND ENDORSED, ACCORDING TO
ARTICLE V, Sect. 2

FORM 1, - (Continued.)

I am not a member of any church.
Yours in Truth and Love,


Name. Mrs. Jemmie W. Field, C.S.
Street and Number. 18 Forest St.,
Town or City. Chicago
State. Ill.
Date. Jan. 2nd, 1901


I cordially approve the applicant.
(a). James B. Brown, C.S.D.
Countersigned by.


DO NOT DETACH.

TO THE APPLICANT: Name. Mrs. Jennie W. Field, C.S.,
Please fill out the Street and Number. 18 Forest St.,
following for the use Town or City. Chicago,
of the Treasurer of State. Ill.
the Church:

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