ORIGINAL          POLL TAX RECEIPT  

            1916 [written over entire receipt]

STATE OF TEXAS,     }   No. 13
COUNTY OF FREESTONE } 
          
   Received of O Y Bonner on the 29 day of Dec 
A.D. 1916 the sum of One and 75/100 dollars, 
in payment of the poll tax for the year A.D. 1916. The said taxpayer being duly sworn by me, 
      says that he is 55 years old, that he resides in voting precinct No. 10 in 
      FREESTONE COUNTY; that his race is White ; that he has 
      resided in Texas 55 years, and in 
      FREESTONE COUNTY 55 years; 
      that he is by occupation ?????? ; that his post-office address is 
Fairfield; RFD No. 1 that has resided at No. _____  on _____ 
Street, in the ____ Ward, in the City of _________ 
for the past ________.  All of which I certify. 
                        
                            Geo. W. Williamson, Tax Collector, 
                            Freestone County, Texas

["Paid by ____ Agent" on left side]