L. M., de, etc

To the Registrar of...

I, A. B......, of, etc., (the hypothecary creditor, his heirs, executors, curators or administrators) do hereby certify that ©. D....., of, etc., hath paid the sum of money due upon a notarial obligation, bearing date the...

day of... in the year... made by the said C. D......to me and in my favor, (or in favor of G. H. as the case may Le) as the obligee therein named, before E. F......, public notary, which was registered on the... day of... in the year... ; and I do hereby require an entry of such payment to be made in the register wherein the same is registered, pursuant to law.

As witness my hand, this... day of...

in the year...

Signed in the presence of... A. B......

J. K., of, etc. L, M., of, etc.