
S 
SOS. 
oo ee ae 
aa 
Ago 
eas 
“a x 
CY Se 
OSS 
<—f W) 
oom - 
a E 
s g 
Pf) Li 
ot 
FROM 
Name 
Post: Office oe ee eee 
State 
Rural Route_______ _>>_ Box No 
Street | 
and No. 
PLEASE WRITE NAME AND ADDRESS PLAINLY 
