| W & W Law | |
| Vs.) | In . |
| Admrx &c |
| Serving [blank] Summons, | $[.]50 |
| Returning Summons, | [.]12½ |
| 20 Miles Travel, | 1.25 |
| Total Amount, | $1.87½ |

Docket printed with manuscript additions in handwriting of David E. Head.

Notations printed with manuscript additions in handwriting of Miner R. Deming.

Notation in handwriting of David E. Head.