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| Title | Receipt for Registered Mail |
| FormNumber | 3806 |
| Revision | Feb 1995 (01) |
| Division | |
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| EKU | |
| LKU | |
| Notes | Tab unpunched. It may not be possible to differentiate the 1995 printings without the tab present. Reverse side of P.O. copy is blank. |
| Source | JohnB |
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