8 x 4 1/4, imprinted form, filled out in ink. Confederate States of America. No. 4572. Columbia [South Carolina] Office. 30 August 1864. This will certify that the Merchants Bank of S.C. has paid at this office Five Hundred Dollars for which amount Registered Bonds of the Confederate States of America, bearing interest from this date, at the rate of four per cent, per annum, will be issued, under the Act approved February 17, 1864, upon the suurender of this certificate at this office. A. Laughlin, Depositary, By C.A. Saunders. Excellent.