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| 正面描述 | Plain cream card stock printed entirely in red letterpress. A dashed rectangular border composed of small squares runs close to all four edges, enclosing the text. The issuer name appears in the upper portion in a cursive-style typeface, with the denomination statement in bold block capitals occupying the lower two-thirds of the field. |
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| 背面描述 | Entirely unprinted cream card stock bearing a partially legible circular blue municipal hand-stamp applied at centre, with a faint handwritten signature or paraph visible within the stamp impression. |
| 背面铭文 | ALCALDIA DE - COPONS (Translation: Mayoralty of - Copons) |
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