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[[preprinted]]
No. __________
Mombasa ___________ 19__ 

^[[E.R. Domansky Esq.]]  Dr.

To
B. N. CHOITRAM & CO.
Diect importerers and Manufactarers of Silks and Curiositeis.

[[table, 3 columns]] 
      |                               | Rs.  a.
[[/preprinted]]
August 5th | 1 Tohl Brass work        | 25 / -  
      17th | 8 Yard silk              | 12 / -    
[[/table]]

[[image - 6 cent stamp affixed to page with blue stamped overlay]]
[[stamped]]
Received payment withh Thanks
for B.N. Choithram & Co  
^[[4-9-9]]    190 
[[signature]] 
[[/stamped]] 
                        
[[preprinted]]
Total Rs... ^[[ 37 / - ]]

E. & O. E.
[[/preprinted]]
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