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| 正面描述 | Plain black letterpress print on cream paper stock. The institution name and unit designation appear at the top, followed by a wavy ornamental rule and the denomination in large bold type at centre. A serial number is handwritten in ink at the upper right, and a manuscript signature of the administrative officer appears below the printed signature line at the foot. |
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| 正面铭文 | HOPITAL DU MAS-ÉLOI BLESSÉS ALLEMANDS BON de 0.05 c. L'Officier gestionnaire, (Translation: Mas-Éloi Hospital. Wounded Germans. Voucher for 5 centimes. The Administrative Officer.) |
| 背面描述 | Plain unprinted reverse bearing a circular violet handstamp at the lower right, partially legible, relating to the issuing hospital establishment. A rectangular adhesive paper remnant is affixed near the upper centre, likely from prior mounting. |
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