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NO. OF LIST,

B.

Stamp.

A List of Money-orders issued in the United Kingdom and payable in the United States despatched this Date of arrival at New York, Premium on gold at that date,

Office

BLANKS TO BE FILLED UP BY THE DESPATCHING OFFICE OF EXCHANGE, LONDON.

Address of remitter.

Address of the payee.

day of

187-.

BLANKS TO BE FILLED UP BY THE RECEIVING OFFICE OF EXCHANGE.

£

8.

d. Dolls. Cts. Dolls. Cts.

Office on which

the home-order is drawn.

C.
(See p. 889.)

Account of the exchange of Money-orders between the United Kingdom and the United States during the quarter ended

187-.

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Number of list.

ISSUED IN THE UNITED KINGDOM.

Table showing the particulars of such orders as have been repaid to

the remitters in the country of issue.

Table showing the particulars of such orders as have become void.

Date of list.

Amount of order.

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£

8. d. Dolls. Cts.

Dolls. Cts. £ s. d.

£ s. d. Dolls. Cts.

Amount of order.

To Cr. of British office.

To Cr. of U.S. office.

To Cr. of British office.

To Cr. of U.S. office.

Date of list.

Number of order.

Amount of order.

Dolls. Cts. £ s. d.

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The within account exhibits a total balance of

which, after

deduction of the payments on account as therein stated, leaves a balance remaining of

due the

office.

(Signature of proper accounting officer of the British office.)

The above statement of account is accepted with a-balance of due the office.

WASHINGTON,

Auditor of the Treasury for the Post-office Department.

187-.

The payment on account of

having been receipted by special, vouchers, the receipt of the balance remaining of is hereby

acknowledged.

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MONEY-ORDER OFFICE,
London,

187-. exchange

to

SIR: The lists of international money-orders which the office has transmitted to the New York exchange office from 187-, amount to the sum of £- —, equal to The lists transmitted by the New York office to the office during the same period, amount to

Difference

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On account of which the British office has already paid the following sums, viz.:

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In accordance with the terms of Article VII. of the convention of

a bill of exchange on New York for $

is herewith transmitted, the receipt of which you will be pleased to acknowledge in due form.

TO THE POSTMASTER-GENERAL

OF THE UNITED STATES,

Washington.

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