RECEIVED FROM 
When 
Collected 
REMARKS 
u 
or- 
COLLECTED BY 
Original No. 
When Entered 
Sj fa. 
12 S' 6 
S3 Sc 
rz if 
7S/Z 
17 ft 
7/f f 
li-U 
1-fld 
7-ff / 
X/f"- 
Determined by 
7o'a 2 
