CHECK IN FAVOR OF, OR 
DEPOSIT ON ACCOUNT OF 
OBJECT 
OR 
VOUCHER 
NUMBER 
AMOUNT OF 
CHECK 
CHECK 
PAID 
BALANCE 
AMOUNT OF 
DEPOSIT 
uttJi 
a 
o 
Amount brought forward, 
J 
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* 
Amount forwarded, 
CHECK 
NUMBER 
DATE 
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