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Bank Name: American National Bank of Leadville

Secured by: with bonds and/or other securities

Place: Colorado

City: Leadville

Plate Date: 1908-12-11

Signature 1: Vernon, William Tecumseh
Register of the Treasury

Signature 2: Treat, Charles Henry
Treasurer of the United States

Charter Number: 3949

Series Date: 1902

BEP Certification Date: 1908-11-30

Sheet Denomination: 5-5-5-5

Plate Position Letters: A-B-C-D