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Telegraph
Service instructions for office use only
Turnover number: ____________ Word: ______________________
Classification: ______________ Rate: ______________________
Second price: _________ Office Reg. Vending Machine __________
Deposit Time: _________________________________________
Key with letter: ___________________________________________
Office Reg. that pays: _______________________________________
Ordinary: Urgent:
Indicate with an “x” the type of service desired
From: _____________ THE OF ______ OF ___
DATA OF THE BENEFICIARY
Mr.: ________________________________
Adress: ____________________________
Destination: ________________________
Value of the draft: ______________
_____________________________________
Additional Text: __________________________
SENDER DATA
Name: _______________________________
Addres: _____________________________
Phone: ______________________________
Signature: ________________
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