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[[four columned table, the last column has three underlying columns seperated by -]]
| QUANTITY | Denomination | AMOUNT | CHEQUES NUMBERED ( SERIES - FROM - TO INCL. ) |
| --- | --- | --- | --- |
|   | $10 |   |   |
| 5 | $20 | 100- | PA - 69.28V 056 - 060 |
| 8 | $50 | 400- | HA - 20.167.718 - 72Y |
|   | $100 |   |   |
|   | $500 |   |   |
TOTAL 500- DATE 6-8-   19CV
PURCHASER'S COPY
[[/end of table]]

FOR YOUR PROTECTION
* Sign each Cheque (in upper left-hand corner) immediately upon purchase. You are not protected in case of loss or theft until each Cheque is so signed.
* Countersign your Cheques (in lower left-hand corner) only in presence of person accepting them. 
* Handle and safegaurd Cheques as you would cash.
* Keep Cheques with you, or in a safe place, at all times-never leave them in your hotel room, luggage or glove compartment of car. 
*Carry Cheques in your most secure inside breast pocket of coat or jacket...or in zippered compartment of handbag.
* Carry this Record Slip separately from wallet of Cheques. In addition, send a memorandum of serial numbers to your home or other address for safekeeping, should both Cheques and this Record Slip be lost or destroyed.
* Notify nearest American Express office immediately if Cheques are lost or stolen. To obtain prompt refund - see reverse side. 

Transcription Notes:
The table was a little confusing to transcribe because it had multiple inner columns within columns and information at the end of the table that weren't part of the columns but were still part of the tables