Handwritten note is an item used during the City of Senntisten quest. It hints towards the blood bottle puzzle and location of the Blood Bank Ledger during the quest, and is found in the Pile of books at the Senntisten Blood Bank.
I see you are late returning. Standard practice it seems. Never the less, I am heading out early, I need to finalise a deal for a very rare vintage. In my absence, I require you to finish the checklist before the night, I finished the stock take, but you must complete the remainder of the list. Do not fret if there is variance in the stock and ledger, I merely had to access the vault. Should you need the ledger, you may take it from my house in the market district, near the colosseum.
Power to the Great Lord, - Zerak
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