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[[preprinted]]
[[underlined]]Two Gold Medals with Diplomas of Honour for High Enterprise. [[/underlined]]

Mombasa,  ^[[1st Dec.]] 190^[[9]] 

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

To C. R. de Souza & Coy., 
General Merchants & Commission Agents, 
ESTABLISHED 1865. 

Head Office. Zanzibar. 
Branches: Zanzibar Mombasa. 

TAILORS & OUTFITTERS - IMPORTERS OF PROVISIONS, WINES & SPIRITS & OTHER ENGLISH & FOREIGN MERCHANDISE. 
[[/preprinted]]  

[[table, 3 columns]]
1909 Nov 11 | Repairing 1 pr. boots                     |  .20
         20 | " "[[dittos for: Repairing 1 pr. boots]]  |  .50
            | 1 shirt of mercerized cloth               | 3.50
         23 | Repairing 1 pr. trousers                  |  .25 
         24 | "[[ditto for: Repairing]] 1 shirt         |  .25
         30 | "[[ditto for: Repairing]] 1 pr trousers   |  .12
                                                       [[line]] 
           |                                            | 4.82
           |                                       Less |  .28
                                                       [[line]]
           |                                            | 4.54
[[/table]]

[[stamped]]
RECEIVED PAYMENT 
WITH THANKS 
Date ^[[4th Dec]] 19^[[09]] 
For C.R. De SOUZA & Co. 
[[signature]]
[[/stamped]]

E&O.E.
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