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| Title | Receipt for Insured Mail (Domestic or International) |
| FormNumber | 3813-P |
| Revision | Sep 1991 (02) |
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| EKU | |
| LKU | |
| Notes | 1993 printing. Old style eagle logo. "102595-93-B-0374" at bottom of reverse side. |
| Source | JohnB |
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