Dated "Dec. 18th, 1781". Pre-printed form, measuring 5.75 x 6", filled out in ink. Exhibits fold-marks, lightly yellowed, else VG and entirely legible.

Text: "Sir….Pay Waterbury Com tee of Supplies Four Pounds out of the Tax of Ttwo Shillings and Six Pence on the Pound, granted in May last, exclusive of that Part payable in State Bills, and charge the State: L4/ Eleazor Wales/ Finn Bosworth] Committee/ John Lawrence, Esq; Treasurer." Reverse endorsement: "15856 Order/ Waterbury Com tee Supplies: L4/ Dec. 18th 1781/ Thomas Porter/ Jona Bealer". Solid colonial-era Connecticut document.  [jp]

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