![Transcription Center logo](/themes/custom/tc_theme/assets/image/logo.png)
This transcription has been completed. Contact us with corrections.
[[preprinted]] TREASURY DEPARTMENT INTERNAL REVENUE BUREAU Form No. 7801 - Jan., 1922 January 18, 1922 Washington, D. C. NOTICE OF ADJUSTMENT OF CLAIM FOR REFUND ^[[checkmark]] ^[[ST-LS checkmark]] Claim No. ^[[307191]] District ^[[2 N. Y.]] Schedule No. [[stamp]] 3T-R639 [[/stamp]] ^[[Jacques Seligmann & Co., Inc., 705 Fifth Avenue, New York, N. Y.]] Your claim for refund of ^[[miscellaneous excise]] tax erroneously or illegally collected, has been adjusted as shown below. Claimed $^[[45.25]] Allowed $^[[45.25]] Rejected $ DATE OF PAYMENT ^[[Send to Mr. Coe]] A check by the Disbursing Clerk of the Department for the amount refunded is forwarded herewith. Respectfully, [[signature]] R. M. Estes [[/signature]] Deputy Commissioner GOVERNMENT PRINTING OFFICE 2-11716 [[/preprinted]] EMT