RECEIPT
                                    (Specific)



                The undersigned hereby acknowledges the receipt of 
        _____________($              ) Dollars from __________________
        in full payment, satisfaction and discharge of the obligation 
        dated _____________,19__ which is more particularly described 
        as follows:

                       

                Signed and sealed this ______day of ______, 19__.



        ______________________________         _________________________
        Witness



                                                        Form 129


      

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