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| 正面描述 | Typewritten text in black ink on plain paper, with the issuing authority title centered at top followed by a double-rule divider. The denomination and redemption clause are set in large typewritten characters occupying the central field, accompanied by a faint blue circular municipal control stamp at left and a red official circular stamp at right bearing the arms of Tivissa at center. A handwritten manuscript signature appears in the lower center, with the place and year typewritten at lower right. |
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| 正面铭文 | CONSELL MUNICIPAL DE TIVISSA Val per 200 Pessetes reintegrables a la caixa municipal Tivissa, any 1937 (Translation: Municipal Council of Tivissa Voucher for 200 Pesetas repayable to the municipal treasury Tivissa, year 1937) |
| 背面描述 | Plain unprinted reverse bearing a handwritten serial number in black ink, with no additional design elements or text. |
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