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| Title | Return Receipt (International) for insured or registered mail |
| FormNumber | 2865 |
| Revision | 1929 |
| Division | |
| WhereUsed | |
| EKU | 5/16/1933 |
| LKU | |
| Notes | "U.S. Government Printing Office: 1929 5-4183" at bottom of reverse side. |
| Source | don |
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