l?' UNIVERSAL POSTAL OONVENTION—WASHINGTON. J UNE 15, 1897. l 715 E, Form E. _ (Front.) Adyrunirtravlan of Pom , Stamp of dispatching oillce 0 .. .- ... , 0};, of ,,,,,,,,,,_.__,. Q [ Aplpllcation fordost l PARTICULARS T0 BE FURNISHED IN CASE OF A CLAIM FOR AN ORDINARY (UN- ntw °*· ‘ REGISTERED) ARTICLE OF CORRESPONDENCE WHICH HAS NOT ARRIVED.
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I. Br rn cuusxr (saxon on mnaxssrz). V -by claimant. } Questions. I Answers. j a. Nature of the article (letter, pest, card, news- ”P"ti°“1““ l*° b° paper or otner print, sample, er packet of mmmhod- { commecruml PSPOTB). b. How was the article addressed? c. What is the exact address of the addressee? d. Was the article large? ¢. What did it contain? (Give details as exact and complete an possible.) f. Exact or approximate date of mailing. » . Name and residence of the sender. [ In case of successful inquiry,t0 whom-the _ - · sender or the addressee-should the article l be returned? I II. BY THE SENDEB. _ —-—by sender. l i. \Vas it prepaid, and. if so, what was the value k , of the postage-stumps atllxeel? j. Date and hour of mailing. k. \Vas it mailed at the window or the box! In the latter case, which box? _ L Was it mailed by the sender himself, or by some other person? In the latter case, by whom? m. Specmldbservstions by the office of origin. n. Observations by the lst intermediary olllce. o. Observations by the 2d intermediary office. This form must. be returned to -.--· - ---..-..»·----... .. . . . . .
