Page:United States Statutes at Large Volume 21.djvu/793

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AMENDE D CONVENTION-CANADA. Mu AND JUNE,_ 1880. 7 63 Model E. . Application to E¤:ohm•ge Ojjioe for Duplicate of Intmmtioml Advice.

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d N0` Post 0B0e Dante of issue 1s9 , Amount $ > County Issued at State or Province..-.

 ...;——--—· .;--, 1s! .

Sm: The above-described Inter-mtiouel Money Order was presented at this Oilloe on thv ._..— dey ot ...—.-——, 188 , 'by é -4.——·-- , who claims to be entitled to payment thereoii and who soys the remittefs name in The advice of said Order has not been received. You will please cause said sdviea, or n duplicate thereog to be for worded to me without delay. . Benpectfully, Paslndsur Pournsmn Im"!. Excnxu 0D10B, ··—-•·