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[[preprinted]] 454 [[/preprinted]] 4 Amt. brot. Ford. $ 820.00 Josephine Gloucester Check 20.00 Mary Anderson "[[ditto for Check]] 20.00 Revenue stamps .86 [[line]] Total $ 860.86 Very Respectfully Yours, [[signature]] W. L. VanDerlip Bvt. Maj. & Supt. of Education per J. Q. Crosby.