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Bank Name: FREMONT COUNTY NATIONAL BANK OF CANON CITY

Secured by: only bonds

Place: Colorado

City: Canon City

Plate Date: 1906-10-19

Signature 1: Vernon, William Tecumseh
Register of the Treasury

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

Charter Number: 8433

Series Date: 1902

BEP Certification Date: 1909-12-03

Sheet Denomination: 10-10-10-20

Plate Position Letters: A-B-C-A