Since it appears under a E7 I can only surmise that it means use the counter-bass under the G# if this is for a 120 bass accordion.
It could mean a counter bass because that might be easier to reach in
the context of the bass progression. Otherwise you would use the B. You
have an augmented 7th with the C unless there are are 4 note basses,
e.g. if the 5th has been removed in the modern bass system the E G# and
C would not clash with the B in the 4-note bass system.
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