Inscriptions: Inscribed in blue, "1/2" in upper left on recto; Inscribed in pencil, "$175" in center on verso; Inscribed in pen, "Old Champlain Bk [sic] Champlain 1944 L B & Co", Bk is underlined, in center on verso; Inscribed in pencil, "21" in upper right on verso

Signed: Signed in pencil, "Charles Banks Wilson 44" in lower right on recto