.V 
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t 
* • 
Miami* 
Date 
« V 
Your receipt for UNITED STATES PASSPORT NO 
dat e. 
surrendered thi 
Should you find it necessary to obtain a new passport or require information 
concerning your surrendered passport, you should communicate direct with the 
Passport Division, Department of State, Washington, D. C., setting forth the 
approximate date and place of departure from the United States as well as 
detailed reasons for desiring to go abroad and name of countries to be visited. 
Immigrant Inspector 
Paul W. Pair 
