Blank certificate of membership record for the Ancient Order of United Workmen. It indicates the positions and dates attained by the member (e.g. Junior Workmen, Master Workman), and the date of the member's death. Inscription across the bottom in fine print: "ENTERED ACCORDING TO ACT OF CONGRESS IN THE YEAR 1901 BY J.M.VICKROY.", "PUBLISHED BY THE J.M. VICKROY CO. TERRE HAUTE, IND."