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DEPOSITpT~IyCCK~ET <br /> DATE ~ ~ ~ / <br /> C DOLLARS CENTS <br /> O W CURRENCY <br /> O COINS <br /> O O ~ n CHECKS ~PAtY4T6Y <br /> O a ~ 1 <br /> p z vi ~ 2 <br /> O ,S <br /> o a m 3 " . <br /> O o3~ a <br /> <br /> O o ? z 5.. ~ :,5: <br /> ~,E.~ ~°~a~........... <br /> o ~ m s <br /> a <br /> .i $ <br /> <br /> u-I <br /> <br /> r z s <br /> <br /> r 10 <br /> <br /> rv 11 <br /> <br /> r _ <br /> <br /> O 12 <br /> <br /> O ,3 <br /> <br /> W _ <br /> 14 <br /> <br /> I'7.! <br /> <br /> i¦ 15 <br /> r 1s <br /> LJl 17 <br /> W <br /> ~ 0 18 <br /> 0 <br /> O m 19 L <br /> O w _ <br /> ~ 3 20 <br /> O1 21 <br /> W <br /> <br /> r <br /> . <br /> <br /> ~ ® 22 <br /> <br /> ~ 23 <br /> <br /> O <br /> <br /> r 24 <br /> 25 <br /> 26 <br /> 27 <br /> 28 <br /> ' PLEASE TOTAL <br /> RE-ENTER <br /> TOTAL MERE <br /> PLEASE BE SUREALL ffEMS ARE PROPERLY ENDORSED. <br /> ~ oa omooHam <br /> ~J gm mm~rcmz <br /> mNQ¢ ti~ ~ ' <br /> D~Nr Om YAbi 1 O ~ <br /> r9~t7 ~Om2 ~ 1 ~ <br /> ``.t~., izgaamTO W r <br /> ooaz39o= ~ m <br /> a o'~Oax w <br /> ~'~F mmm~o~oa ~ <br /> ~ fa3~;mm-~ N N <br /> < ;-Om I rn <br /> ~tl xD~>am~w WN <br /> O N <br /> <br />