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| Title | Return Receipt for Merchandise |
| FormNumber | 3804 |
| Revision | Mar 1988 (03) |
| Division | |
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| EKU | |
| LKU | |
| Notes | Differs from other Mar 1988 printings by:
"GPO JKT 214-861" along left side. Serial number with "N" prefix.
Roulette rate: printed 10.5, cut at 7.75 |
| Source | JohnB |
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