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The treasurer may provide, by printing or stamp, on the face or back of the warrant, a place for acknowledgment of presentation and the rate of interest to be paid, and other pertinent information in substantially the following form:

NOTICE

This warrant presented and not paid for lack of funds. Bellevue City Treasurer will pay at call, the face amount plus interest at ___% per annum from this date until called.

CITY OF BELLEVUE

Date: ____________________________
_________________________________
_________________________________

City Treasurer

(1961 code § 2.32.050.)