[HERE INSERT THE DATE. ]SIR,PLEASE TO DRAW ON THE STATE TREASURER IN FAVOR OF [BLANK]FOR THE AMOUNT OF THE DIVIDEND ON THE SCHOOL FUNDS DUE TO [BLANK] SCHOOL SOCIETY,......TOCOMPT. OF PUBLIC ACCOUNTS.
[Hartford? s.n., ca. 1799?]. Broadside, measures 6.5" x 8". Town School Committee State revenue requisition slip: 24 lines; printed area measures 3.5" x 5.5" on slip of laid paper [vertical chains appear to have many knots on them]. Light tanning and foxing. Two manuscript X's marked through lower portion of the document's text. Very Good. Not in Evans, Bristol, or Shipton-Mooney. Item #20286
Price: $100.00
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