UNIVERSAL POSTAL CONVENTION- VIENNA. JULY 4, 1891. 1 1 63 _ _ _ H• Form H. Jdm”¤~¤Y¤¢•¤’¤ of PMU Stamp of dispatching oitioo. Application for lost ofargleles. d se e . 03m of y n r PARTICULARS T0 BE FURNISHED IN CASE OF A CLAIM FOR AN ORDINARY (UN- REGISTERED) ARTICLE OF CORRESPONDENCE WHICH HAS NOT ARRIVED. 1. Br ·rm·: cuixszrr (snmsn on ADDRESSBE). Questions. Answers.
a. Nature of the article (letter, post card, news- · paper or other print, sample or packet of ' commercial pa rs). b. How was the utme addressed! c. \Vhat in the exact address of the addressee! d. Was the article large? e. What did it contain? (Give details as exact and complete as possible.) f. Exact or approximate date of mailing. Z. Name and residence of the sender. . In case of successful inquiry to whom-—the , sender or the addressee-—should the article ' be returned? · ` »`—_`_""1"— | ‘ II. Br rms suns:. i. Was it prepaid, and. if so, what was the value l of the postagestanéps aiiixod! { j. Date and hour of ma mg. ; I:. Was it mailed at the office or the box! In I the latter case, which box? “ 1. Was it mailed by the sender himselil or by I some other person! In the latter case, by 1 ' whom? I "` `“""“"`_""'"_""`—“_""""""7_ i m. Special observations by the omce of origin. 3 n. Observations by the lst intermediary otllce. i o. Observations by the 2d intermediary office. A Q a I This form must be returned to V _._..._..._._._..._.__J
