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Forms 21- 34 of 34 Available for 'Receipts'

For Payment of Installment of or on Principal  

For payment of installment of or on principal. Received from ___ the sum of $___, being the payment due on ___[date] for the year ___, as provided for by contract between the undersigned and ___. [Date]

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Receipt of Exchange  

This document is to confirm receipt by the Secretary of ___[name of corporation] of ___'s [name] interest in shares of ___[name of corporation] and ___[name of corporation]. ___'s [Name] interest in these shares is to be exchanged for ___[number] ___[type of share, e.g. preferred] shares of ___[name of corporation] ___[type of share, e.g., Preferred] Stock authorized ___[date] represented by share certificate number ___, dated...

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For Money to Be Held As Custodian  

For money to be held as custodian. Received of ___ the sum of $___ to be delivered to ___ upon receipt of a proper deed to ___ land, executed by ___ to ___.

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For Interest Payment (Indorsed)  

For interest payment (indorsed). Received from ___ the sum of $___, the semiannual [or as the case may be] interest due this day on the ___. [Date]

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For Papers  

For papers. [Date] Received of ___ the following papers: ___[describe papers] for the following purpose: ___.

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For Money to Be Held As Custodian  

For money to be held as custodian. I acknowledge receipt of $___ to be kept separate and held by me as custodian [for safekeeping] and delivered to A on demand, or to another on A's order.

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For Payment by Widow to Heir  

For payment by widow to heir. I, the undersigned, one of the children of A, late of the City of ___, deceased, acknowledge that I have this day received of B, widow of A, the sum of $___, on account of my share in the assets of A's estate, given to B for life, it being understood that this is to be treated as an advancement made to me at the time the estate is divided among the remaindermen mentioned in the last will of A.

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For Salary  

For salary. [Place and date] Received from ___ the sum of $___, salary in full for the month of ___, ___[year], at $___ per month.

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On Account  

On account. Received of ___ the sum of $___ to apply on account. [Date]

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For Bonds-Interim Receipt  

For bonds-Interim receipt. Issued by ___, ___ Street, ___ This is to certify that ___, of ___, is entitled to receive $___ principal amount of ___ first mortgage bonds dated ___, bearing interest at the rate of ___% with ___[year] and all subsequent coupons attached, the bonds to be delivered when, as and if received in definite form upon surrender of this receipt.

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For Goods Received for Inspection in Fur Business  

For goods received for inspection in fur business. The above listed merchandise is received for inspection only and will be returned upon demand to ___. Sale of the above-listed merchandise takes effect only from date of written approval of your selection by ___ and issuance of regular invoice.

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For Insurance Premium  

Received of ___ the sum of $___ on account of ___ premium on the proposed insurance in accordance with the application bearing the same number as this receipt. If, on the date this payment was received, applicant, in the opinion of company's authorized officers in ___, was insurable and acceptable as a standard risk under its rules and practices for the policy or policies exactly as applied for, the policy or policies will be dated and made effective as of the date this ...

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For Salary  

[Place and date] Received from ___ the sum of $___ as compensation for services rendered to date in connection with ___. This receipt is given at the request of ___ to avoid any question that the payment by ___ and the receipt by ___ of the above sum of $___ shall be considered as implying the existence of any contract of legal obligation for the payment of any sum over and above the salary which I have received.

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Limiting Company's Liability  

Company will not pay over $___, in case of loss, or __½ per pound, actual weight, for any shipment in excess of ___ pounds, unless a greater value is declared and charges for such greater value paid. The rate charged for carrying the property is dependent upon the value of the property and is based upon an agreed valuation not exceeding $___ for any shipment of ___ pounds or less and not exceeding __½ per pound, actual weight, for any shipment in excess of ___ pounds...

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