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C. L. FREER. ✓
$350 00/100    No. 30

IN FAVOR OF
F. L. Church
NY

Month of December 1895

[[2 columned table]]
|CHARGE|   |
|---|---|
|Gifts| 350 00|

Paid Dec. 21" 1895
Vou. Reg. Page 74   Check No. S 2881