RECEIVED FROM 
COLLECTED BY 
When 
Collected 
Original Ho. 
When Entered 
Determined by 
3ll o^r^L JhX3x3L 
iXJ olXJja, 
U, 
(/%/ ^ 
(^Jibucic^ 
3C(%<dxnJ 
my 
<?! C. Q) <sjIu>a) 
3 C..(ht>^Jjvu 
V. S~fouL 
&Umj 
( f*f 
•r 
3~-C- (Ba^Las 
i > * 
3m~ 
/ 17 * 
3 rtf 
iAJ C 
* / 
JUS 
7 ,C-(l 
REMARKS 
'&* L- / - / V d "f 
