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Fitchburg National Bank
Fitchburg, Mass.
Sept. 10th, 1867.

$214
(No. 1104.)

Pay to the order of G. W. A. Goldman Two hundred & fourteen Dollars To the American Exchange National Bank, New York.

(Sgd) C. J. Billings, Cashier.

The above is a true copy of the original draft

Attest (Sgd) A. Hitchcock

Jan'y. 21st, 1868.