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IN WINDOW AREA BELOW WRITE THE NAME AND ADDRESS OF DEBTOR (Exactly as it appears on document authorizing billing)

0078000

MAKE CHECK PAYABLE TO
DISBURSING OFFICER

U.S. Fostal Serv.

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Reimbursement to the Postal Service for franked mail service based on actual data for second quarter, Postal Fiscal Year 1978. (See attachments)

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ADJ ADJ. A/P OR
CODE TYPE FY

ACCT NO

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SUB AC
C

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I cenity that the amoun: cue the US Postal Service arose from an overpayment e sclosed by the reccres of the US Posta: Service or from acum ** by authorized official or the basis of circumstances described above

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(SIGNATURE

INVOICE AND STATEMENT

(Other than Davrolli

U.S. Postal Service. KIGO.
Washington, DC 23200

ICITY STATE AND ZIP COot

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IN WINDOW AREA BELOW WRITE THE NAME AND ADDRESS OF DEBTOR (Exactly as it appears on document authorizing billing)

0078000

P-30000

MAKE CHECK PAYABLE TO:
DISBURSING OFFICER

U.S. Postal Service

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Reimbursement to the U.S. Postal Service for franked mail service
based on actual data for first quarter, Postal Fiscal Year 1978.
(See attachments)

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A/P OR
F.Y

ACCT NO.

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SUB A/C

69-71

ON OVERPAYMENT

NAME OF ACCOUNTABLE OFFICER

I certify that the amount due the US Postal Service arose from an overpayment disclosed by the records of the U.S. Postal Service, or from a determination by an authorized official on the basis of ciscumstances described above

frank. Hall

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U. S. Postal Service, PotboxDƏRÜCK
Washington, DC 20260

(CITY, STATE AND ZIP CODE

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