[Receipt of repayment of loan by P.R. Hustin, and witnessed by M.F. Evrard, notary]
Publisher: S.n.
Place of publication: [Douai
Subjects: Banks and banking -- Flanders -- Early works to 1800.; Finance -- Flanders.
Notes: Printed form completed in ms.

Dated "Douay le quatorze May 1721" and signed in ms: "J.R. Hustin."

Title composed from contents.