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| Title | Receipt for pounds of second-class matter brought to postmaster for mailing and amount due for mailing |
| FormNumber | 3539 |
| Revision | |
| Division | |
| WhereUsed | Part "A" in red given to the mailer and Part "B" in black retained by P.M. and sent quarterly to 3rd Asst. PMG with N&P statement |
| EKU | circa 1910 ASW |
| LKU | |
| Notes | |
| Source | SS |
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