“No. .....
STATE OF ARKANSAS
Auditor’s Office, . . . . . . . . . . . . . . Little Rock, . . . . . ., 20. . . . .
I certify that the sum of . . . . . . dollars and . . . . . . cents is due by the State of Arkansas to . . . . . ., and do hereby direct that the Treasurer of said State pay to the said . . . . . ., or bearer, the sum of . . . . . . dollars and . . . . . . cents, out of . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
,Auditor
$. . . . . .”
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