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STOUGHTON CO-OPERATIVE BANK
STOUGHTON, MASS.

To the Certificate Holder: -

In accordance with the order of The Commissioner of Banks the regular periodical verification of Shareholders accounts is now being made.

Kindly confirm the following statement of your account as shown by our books.

We will thank you for a prompt reply, using the enclosed envelope for that purpose.

Very truly yours,
RALPH S. BLAKE, Treasurer.

[[2 Columned Table]]
| --- | Amount |
| Paid Up Certificates | $ |
| Loans on Paid Up Certificates | $ |
| Matured Certificates | $ |
| Loans on Matured Certificates | $ |

The above statement is correct

Signature_________________________

STEVENS, FISK & DUPUY INC.    FORM C 47-1