Received this ____ Day of ___ 178_ of the Sum of being the Consideration for ___ Interest or Share in the Joint Stock of Three per Cent. Annuities, erected by an Act of Parliament of the 25th Year of the Reign of King GEORGE II. entitled, An Act for converting the several Annuities, therein mentioned, into several Joint Stocks of Annuities, transferable at the BANK of ENGLAND, to be charged on the Sinking Fund; and by several subseqent Acts, together with the Proportional Annuity at 3 per Cent. per Annum, attending the same, by me this Day transferred to the said ___ Witness Hand