RECEIVED FROM 
COLLECTED BY 
■/r- 
When Original No. ^ .11 
Collected When Entered Determined by 
I 
j 3 ^'-Z 
/^3Z 
i"/^/ 
7 ^ <^7 
/ 3S'^S- 
/ 3 S7^ 
<FJ ^ 
7^/3 
A?i^/ 
S' 3 JY 
f 
3 
REMARKS 
