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| 正面描述 | Typeset receipt form printed in black on cream paper, with a bold red-orange underprint of interlocking star and circular vignette motifs. The issuer's title appears at upper left, with the word 'Potrdilo' (Certificate) at centre top and a serial number at upper right. Handwritten entries fill the blanks for the subscriber's name, amount, and date. A circular violet official stamp of the Okrožni Odbor O.F. za Goriško is applied at centre, alongside manuscript signatures of the President, Secretary, and Authorised Representative. |
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| 正面铭文 | OKROŽNI NARODNO OSVOBODILNI ODBOR ZA GORIŠKO Potrdilo Številka 05418 Potrjujemo, da je tov. ______ vplačal(a) danes znesek lir 500 z besedami Petsto kot posojilo svobode. Predsednik: Tajnik: Dne 23/5 1944. Pooblaščenec: Posojilo svobode je razpisal izvršni odbor Osvobodilne fronte slovenskega naroda in se vrne po dokončni osvoboditvi po podrobnejših predpisih v takrat veljavni valuti. |
| 背面描述 | Unprinted verso showing bleed-through of the red-orange underprint and violet stamp from the obverse. The surface is otherwise plain, with a single red-orange rule border visible at top and bottom edges. |
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