                                DATE.              No.
<JL   DECEIVED FROM.   u       id                        s

                                                             DOLLARS
      Ofor RENT                                —



      Ofor

                           ■   M.ASH
      ACCOUNT

                           OCHECK I
      PAVMENT
                       !   p, MONEY
                                        from       TO


      BAL. DUE             O CREDIT
                                        BY.
