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| 正面描述 | Plain white paper ground with typewritten text in the centre reading the voucher denomination, above a handwritten serial number. A large oval municipal ink stamp in violet-blue is applied centrally, serving as the primary authenticating device, accompanied by a manuscript signature in dark blue ink at lower right with a horizontal flourish underlining the text. |
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| 正面铭文 | Val per 0`25 cèntims. (Translation: Voucher for 0.25 Centimos.) |
| 背面描述 | Blank reverse bearing a large oval municipal ink stamp in violet-blue applied centrally, bearing the legend of the issuing authority around the perimeter. The stamp constitutes the sole design element on this side and served as the only means of identifying the issuing municipality. |
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