ORIGINAL          POLL TAX RECEIPT  

            1912 [written over entire receipt]

STATE OF TEXAS,     }   No. 78
COUNTY OF FREESTONE } 
          
   Received of O Y Bonner on the 23 day of Jan 
A.D. 1913 the sum of One and 75/100 dollars, in payment of the poll tax for the year A.D. 1912.  
The said taxpayer being duly sworn by me, says that he is 52 years old, that he resides in voting prec-
inct No. 10 in FREESTONE COUNTY; that his race is White ; that he has resided in Texas 52 
years, and in Freestone County 52 years; that he is by occupation Farmer ; that his post-
office address is Fairfield; that has resided at No. _____  on _____ 
Street, in the ____ Ward, in the City of _________ for the past ________.  
All of which I certify. 
                            Tom S. Peyton, Tax Collector, 
                            Freestone County, Texas

["Paid by ____ Agent" on left side]