Compare revisions: 1975_Sackson_019_address lines.jpg
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                                         Created page with "NAME______________ADDRESS__________________TEL.___________________  ----    [W Y Z preprinted down the right edge of the page]    [No handwriting on this page]" 
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                                         column headings 
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                     This revision marked as completed.                     This revision marked as approved.                  | 
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[column headings: NAME, ADDRESS, TEL.]  | |||
----  | ----  | ||
[W Y Z preprinted down the right edge of the page]  | [W Y Z preprinted down the right edge of the page]  | ||
[No handwriting on this page]  | [No handwriting on this page]  | ||