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(.3) FORM TO EE USED 3Y GOVERNOR OR VICE GOVERNOR IN MAKING REQUISITION FOR
FEDERAL RESERVE NOTES.
Under authority of resolution of the Federal Reserve Beard adopted
December 12, 1917, you are hereby requested, in accordance with the fore­
going application, to deliver tc the Federal reserve agent whose signa­
ture appears thereon Federal reserve notes in the aggregate amount of
..................... in denominations as follows:
Five dollars ($20,000 per package)............ $
. Ten dollars ($40,000 per package) ............ $
Twenty dollars ($80,000 per package) ........

$

Fifty dollars ($200,000 per package) ........

$

One hundred dollars ($400,000 per package) ... $

Governor.
To the Comptroller of the Currency;
Washington, D. C.
.

X-610


Secretary