ORIGINAL          

STATE OF TEXAS,     }   POLL TAX RECEIPT  No. 31
COUNTY OF FREESTONE }  For O Y Bonner for A.D. 1903
          
Received of O Y Bonner on the 28 day of Jan 
A.D. 1904 the sum of One and 75/100 dollars,
in payment of the poll tax for the year A.D. 1903.  
The said O Y Bonner being duly sworn by me,
says that he is 42 years old, that he resides in voting precinct No. 10 in
FREESTONE COUNTY; that his race is White ; that he has
resided in Texas 42 years, and in 
Freestone County 42 years;
that he is by occupation Farmer that he has resided at No. _____  on 
_____ Street, in the ____ Ward, in the City of _________
for the past ________.  All of which I certify. 

By _______ Deputy           L A Dunagan, Tax Collector, 
                            Freestone County, Texas

["Paid by ____ Agent" on left side]