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TitleHeed This!
FormNumber27
Revisionc1901
Division 
WhereUsedfor Postmaster to acknowledge receipt of stamps from Stamp Agent, bottom sent to 3rd Asst PMG
EKU1886 DLS
LKU1907 DLS
NotesThe stamps accompanying this invoice are of the "Pan-American" issue - May to October, 1901. John P. Green, U.S. Postage Stamp Agent
SourceSS