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Bank Name: Farmers National Bank of Siloam Springs

Secured by: with bonds and/or other securities

Place: Arkansas

City: Siloam Springs

Plate Date: 1910-09-26

Signature 1: Vernon, William Tecumseh
Register of the Treasury

Signature 2: McClung, Thomas Lee
Treasurer of the United States

Charter Number: 9871

Series Date: 1902

BEP Certification Date: 1910-10-31

Sheet Denomination: 10-10-10-20

Plate Position Letters: A-B-C-A