February 17th 1864. Richmond Virginia, #78589
Two signatures at bottom: ___ for Register, __ for Treasurer
Image of State Capitol Nashville in the center, and A.H. Stevens (Confederate Vice President) LR.
Lithography by Evans & Cogswell, engraved by Keatinge & Ball Columbia SC.
Staining across top, paper crease, paper aged. Slightly cut into left side.