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Bank Name: Fort Collins National Bank

Secured by: with bonds and/or other securities

Place: Colorado

City: Fort Collins

Plate Date: 1900-06-11

Signature 1: Lyons, Judson Whitlocke
Register of the Treasury

Signature 2: Roberts, Ellis Henry
Treasurer of the United States

Charter Number: 5503

Series Date: 1882

BEP Certification Date: 1909-07-01

Sheet Denomination: 5-5-5-5

Plate Position Letters: A-B-C-D