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[[preprinted]]
SMITHSONIAN INSTITUTION.
UNITED STATES NATIONAL MUSEUM.
[[line]]
[[/preprinted]]

R.R. Balto. & return 2.00
Str. round trip 2.50
9 meals @ 50 [[superscript, underlined]] ct [[/superscript, underlined]] 4.50
[[line under column of numbers]]
9.00
Inc. 1.00
[[line under column of numbers]]
10.00