The examination which has taken place has proved the correctness of the totals, viz:*
Amounts paid in, ................................ dollars...... cents.

In return I transmit to you herewith (in duplicate) a List of international money-orders, No. the List being ....... ..... francs...... centimes.

Be pleased to examine, complete, and return to me the original copy of this List. with your acknowledgment of its receipt indorsed thereon.

I am, respectfully, your obedient servant,

To the MONEY-ORDER OFFICE

at Basle, Switzerland.

Postmaster, New York, N. Y.

In case any differences are found, such differences to be stated below.

с

Account of the exchange of money-orders between Switzerland and the United States of America during the Quarter ending..

.188...