Form 1615-B

 

 

 

 

 

AMERICAN RED -CROSS , Rev. Feb. 1944
REMITTANCE OF 194 WAR FUND CONTRIBUTIONS No.
Chapter Date
Name State

REMITTANCE STATEMENT

 

i Total cash collected to date .

 

2. Authorized_% retained by chapter . .

£p- f* -

 

3. Amount due National Organization... .

4, Amount previously remitted to Area Office $

 

5. Balance due National Organization -
Cheek Attechea . 3. 1 we ts &

 

Remarks

 

 

CAMPAIGN REPORT

 

*6. Total cash collected to date
(Same as 1 above)... . Cel eae 68

 

7. Umpaid pledges on hand...

8. Credits reported from Area Office

 

 

~ oe ive .

9. Total raised to date .

*This figure should at all times reflect the total amount collected from the beginning
of the campaign to the date of this report.

SOURCES OF THIS REPORTED TOTAL

 

 

 

boa Bad OUNET (en o aG eae ara e Ree

Ce re er a 4s
a ee ee a ee a se ee ee

$

- §

 

13. Total ratsed (same as item 9) ..

14. Number of individual contributors of $1.00
or more (do not include corporations, other
business firms or organizations)

 

Signed_
: Chapter Treasurer

List on the reverse side contributions of $10,000 or more which have not been
previously reported.

(Mail to American Red Cross, 1709 Washington Ave., St. Louis (3), Missouri.)