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| Title | U. S. Stamped Envelope Agency |
| FormNumber | 3218 |
| Revision | c1908 |
| Division | |
| WhereUsed | Packing slip and receipt to accompany a shipment from the Agency to a postmaster |
| EKU | |
| LKU | |
| Notes | Top portion of form only. This example from office in Dayton, Ohio. |
| Source | JohnB |
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