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| Title | Receipt for Insured Mail Domestic - International |
| FormNumber | 3813-P |
| Revision | July 1978 (02) |
| Division | |
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| EKU | |
| LKU | |
| Notes | "* GPO: 1979 289-362" at bottom of reverse side. Serial number with "N06" prefix. |
| Source | JohnB |
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