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| 正面描述 | Printed in green and brown on cream paper, the obverse centres on an oval vignette rendered in green letterpress showing a local chapel with a wayside cross in the foreground set against a clouded landscape. Flanking the vignette are two pillar-like ornamental panels bearing the vertical inscription HELLER, with the denomination numeral 50 in large bold type within decorative cartouches at the upper left and upper right. Below the vignette the legend KASSENSCHEIN appears, with the issuer name contained in a framed panel along the lower margin. |
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| 背面描述 | Printed in brown on cream paper, the reverse is entirely typographic in character and enclosed within a decorative guilloche border. The central text block carries the redemption clause in Gothic blackletter script, below which appear three manuscript signatures under the respective headings Der Vizebürgermeister:, II. Gemeinberat:, and I. Gemeinberat:. The printer's imprint appears in small type along the lower margin outside the border. |
| 背面铭文 | Dieser Gutschein wird von der Gemeinde Dornbach innerhalb 14 Tagen nach Verlautbarung in der Tagespresse in gesetzlichem Gelde eingelöst. Der Vizebürgermeister: II. Gemeinberat: I. Gemeinberat: Lith. u. Druck von F. Seitenberg, Wien III. |
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