v2711-551

Subject:. Ai^t ...S.Qulaby

Subject's Address: _

Sabject's Employer:

Monthly Salary:

board or services?..

.Does this include, room,

Own Aufo?

If married, spouse's name:

Spouse's employment, if any:

Number ol dependents:

DETACH BEFORE MAILING

56

-i:i-i:i-iri-a::i

JBE

caBEBBIBI

DGE

QBCi

703 Albee Building

WASHINGTON 5. D. C.

'^ APR 10 n

Art Soulsby

Rock Springs

Wyo.

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archive.org Volume Name: govuscourtsca9briefs2711

Volume: http://archive.org/stream/govuscourtsca9briefs2711

Document Link: http://archive.org/stream/govuscourtsca9briefs2711#page/n550/mode/1up

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