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[[preprinted]]
Recapitulation
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[[3 column table]]
[[item]] | Received | Paid
On hand January 1,19 |   |

January |   |
February |   |
March |   |
April |   |
May |   |
June |   | 
July |   |
August |   |
September |   |
October |   |
November |   |
December |   |
TOTAL |   |
Balance to new Account |   |
[[no entries]]
[[/3 column table]]
[[/preprinted]]

[[end page]]
[[start page]]

[[preprinted]]
Telephone Numbers
[[double line]]
[[/preprinted]]

[[no entries]]