D. S. Nr. 4 b (21.) ex 96. * * * * * [1] Number of the cheque book. [2] Post Office Savings Bank. [3] Extract of current account. [4] N^o 151 of the 13th September 1896. [5] Number of the acknowledgements of payments or cheques. [6] Receiving Office (pay office). [7] Name of payer or of receiver of money. [8] Deposits and entries to the credit of current account. [9] Repayments. [10] Debit entries in the clearing service. [11] Balance in hand. [12] Page. [13] Date. [14] Brought over from 12. 9. 96. [15] To be carried over.] [Illustration: FIGURE VI. [1]Tagesrechnung der Einlagen im Checkverkehr. [2](Einlagen auf Empfangscheine.) +------------------------------------+ | [3]Raum zum Aufkleben der Vignette.| +------------------------------------+ +------------+---------+-----------+---------------+---------------+ | [4]1 Von | 2 |[6]3 Betrag| [7]4 | 5 | | Seiten der |[5]Nummer|der Einlage| Nr. des | [8]Name des | |Sammelstelle| des +-----+-----+Empfangscheines| Einzahlers | | leer zu | Contos | fl. | kr. | | [aus dem | | lassen | | | | | Erlagscheine] | +------------+---------+-----+-----+---------------+---------------+ | | | | | | | +------------+---------+-----+-----+---------------+---------------+ | | | | | | | +------------+---------+-----+-----+---------------+---------------+ | | | | | | | +------------+---------+-----+-----+---------------+--+------------+ | |[9] | | | Anzahl | | [11] | | |Gesammt- | | | der | |Unterschrift| | |betrag | | | Einlagen[10] | | des | | |der | | | | |Postbeamten:| | |Einlagen | | | | | | + +---------+-----+-----+---------------+--+------------+ | D. S. Nr. 2 n (9.) ex 96.| +------------+---------+-----+-----+---------------+--+------------+ [1] Daily account of deposits in the cheque service. [2] Payments upon acknowledgement of receipt. [3] Space for affixing the vignette. [4] To be left blank by the receiving office. [5] Number of current account. [6] Amount of the payment. [7] Number of the acknowledgement of receipt. [8] Name of the payer according to the acknowledgement of deposit. [9] Total sum of the payments. [10] Number of the payments. [11] Signature of the post office official.]