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| STATE OF ILLINOIS,) | Sct. [scilicet] |
| ,) |
| $99.00) | D) |
| 11 59 <11 80>) | costs) |
| $110.59 <$110.80> |
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Signature of JS.
TEXT: “-[SEAL]-” enclosed in a hand-drawn representation of a seal.

Notation by John D. Parker.
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