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| 正面描述 | The obverse is printed in orange and black ink on buff cardboard. The outer orange band bears the legend MISSOURI at top and SALES TAX RECEIPT at bottom. The central field features the denomination FIVE MILLS in large bold lettering with the numeral 5 superimposed over the word FIVE, all set against the Seal of the State of Missouri, with RETAILERS inscribed above the central device and the Roman numeral date MDCCCXI appearing below. |
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| 正面文字 | Latin |
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| 背面描述 | The reverse is printed entirely in orange ink on buff cardboard. A multi-line text fills the field, with the opening legend THIS RECEIPT SHOWS THAT arching around the upper border and STATE OF MISSOURI arching along the lower border, enclosing a centred explanatory message directed at the holder regarding the public benefits funded by the sales tax. |
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