United States. Dept. of the Treasury This is to certify, that [blank] : of the township of [blank], in the county of Dauphin, and district of Pennsylvania, hath paid the duty of [blank] dollars upon a [blank] wheel carriage, called a [blank] and owned by him, having [blank] top on, to be drawn by [blank] horse, for the conveyance of more than one person, for the year to end on the 30th of September, 179[blank] [blank] Collector of the Revenue, Third Division, Survey No. 3, Pennsylvania.

United States. Dept. of the Treasury

This is to certify, that [blank] : of the township of [blank], in the county of Dauphin, and district of Pennsylvania, hath paid the duty of [blank] dollars upon a [blank] wheel carriage, called a [blank] and owned by him, having [blank] top on, to be drawn by [blank] horse, for the conveyance of more than one person, for the year to end on the 30th of September, 179[blank] [blank] Collector of the Revenue, Third Division, Survey No. 3, Pennsylvania.

[Pennsylvania : s.n., not after 1798]

A receipt form.

Not in: Evans; Bristol.

Library Company copy completed in MS. for John Weidman of Lebanon, Pa., who paid $3 duty on his two-wheel carriage in 1798; signed by Fred. Hubley; with a MS. note, dated March 11, 1802 that Hubley received "twelve dollars being the balance due on his riding chair for three years ending September 30th next."

NEH-Readex: not in Readex; not at AAS.

Carriages and carts -- Taxation.

Tax collection -- Pennsylvania.

Blank forms. rbgenr

Broadsides. rbgenr

Hubley, Fred.

Weidman, John.

Imprint PA. 1798.

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