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RECEIVED, [blank on form] of his Excellency [blank on form] Governor of Georgia by the hands of [blank on form] Secretary to the Executive Department, [blank on form] dollars [blank on form] cents it being the first Installment or one fifth part of [blank on form] Claim against the Creek nation of Indians, as allowed by the President of the United States under the treaty held at the Indian Springs
8th January 1821.