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| 正面描述 | Letterpress-printed gutschein on tan paper in dark red ink, laid out in three vertical panels. The central panel carries the issuer's name and place in bold Gothic lettering with the issue date; flanking panels each bear a large numeral '5' within an Art Nouveau foliate border. The denomination is also repeated in script at top and bottom of the central panel. |
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| 背面描述 | Plain tan paper reverse bearing a single applied oval handstamp in black ink at centre, containing multi-line text referencing the issuing cooperative. The obverse design is faintly visible in show-through. No additional printed design elements are present. |
| 背面铭文 | SN. stamp Oval Stamp |
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