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[pre-printed check form]

Exchange for California $272.00 Banking House

                                                                            Of
                                                                          Donohoe, Ralston & Co.
                                                                          San Francisco      Jany 9th 1863

Pay this DUPLICATE of Exchange (original unpaid) to the order of Mrs. C. C. Auger Two Hundred and Seventy two 00/100 dollars Value received and place to account of Mefs. Eugene kelly & Co.

To the Park Bank New York City [signature] D. M. Wood Ralston ? No. 4790