r 
When Original No. 
Collected When Entered 
Determined by 
/Qe.. 
/foe. 
JS3> 7 
/m zuc. 
231 
23! 4. 
23! a. 
/ft 7 ZZ 'I *- 
ZZ 7 
ZZ7z 
2zZ 
(o 3 f % 
lo 3 
REMARKS 
•• ty-) 
