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w <br />X <br />This receipt is your guarantee for a refund o#.your money order if it is lost or An inquiry Form 6407 may be filed at any time for a f A <br />stolen, provided yo Mill in the Pay To and From information on the money order replace mo <br />ment will not be issued ur)tif 60 days after the ney <br />in the space provided. No claim for improper payment permitted 2 years after purdhase date, provided the mohey has not been paid. . <br />payment. If your money order is lost or stolen present this receipt and file a claim ; <br />for a refund at your Post Office. <br />M <br />3 o x a <br />a A <br />m co O _.. <br />x <br />zs p v <br />C 19 1'A Q <br />rr <br />CL <br />,• <br />..r cEr <br />-i <br />A> +* <br />9x <br />A <br />Ci <br />CL <br />n <br />m <br />.. <br />W <br />o a. <br />3 : � : 1' <br />++s Cr <br />OR <br />d <br />U. o r <br />!! <br />w <br />iA iA iA 40 <br />i <br />r <br />- r <br />3} 1{ f`f t i <br />t 43 I• = 3> C� <br />t �� 3 <br />1 C� <br />_ _t �E71 f C3 i <br />Cl 0 1 <br />X�_ i :3: <br />71ju .0 <br />_ <br />3> 1 ,• <br />t <br />M <br />r <br />In im IM <br />t 1W <br />.: <br />t <br />IM IM I M IM <br />x. .� <br />t <br />CS) : <br />w . } 'r•A <br />CU MER'S -RECEIPT' D� .NOT S&D TH.IS RECEIPT FOR -PAYM1'; VT <br />STO :�: <br />KEEP F <br />FAR <br />-YOUR RECORDS ::;:- r <br />. 8 35? 64#351 <br />�.. <br />r .� <br />SERIAL NUMBER <br />r• • r <br />YEAR, MONTH DAY POST OFFICE U. S. ph etRS =AND'EENTS <br />PAY TO <br />(� f C �. <br />CHECKWRITER * ; =..(� <br />IMPRINT AREA <br />f <br />t# <br />i <br />t.� <br />l l �; `. :i <br />. " * *�...,� <br />FROM <br />f �;: =' r.' <br />ADDRESS -- <br />C OD N O. O <br />USED FOR <br />