The image shows a black plastic tray with a piece of paper on top of it. The paper has a list of items written on it, including the date, address, and account number. The items are written in black ink and are arranged in a grid-like pattern. The list is titled "33-2 Date" and appears to be a receipt or a receipt of some kind. The date is written in the top left corner of the paper, followed by the address and the account number in the bottom right corner. There is also a note that reads "1A Your Account Stated to Date - If Error is Found, Return at Once". The tray is sitting on a table with a white tablecloth and there are a few other items visible in the background.