RKBP-125

[preprinted blank] No. [written] 33 [printed] Chicago, [written] November 10th [printed] 1856

I. H. BURCH & CO.,

Pay [written] E. Gallup on Order [printed]or Bearer, [written] Two Hundred - - [printed] Dollars.

$ [written] 200.- John A. Kennicott

[page turned, printed on the end] Cor. Lake & Clark Sts.