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Receipt for Application For Settlement - Adjusted Service Certificate

Receipt for Application for Settlement - Adjusted Service Certificate



Receipt is acknowleged of your application for settlement on your Adjusted Service Certificate.

A large number of applications have been received and are being acted upon as rapidly as possible. A considerable period of time must elapse before settlement can be effected.

Any correspondence or the submission of another application will only serve to retard settlement in your case.

Your application will be given attention in its turn.

In all matters having reference to your Adjusted Service Certificate, always give your full name and "A" number.

FRANK T. HINES, Administrator

Adjusted Compensation Form 1703

Receipt for Application of Settlement - Adjusted Service Certificate (Back Side)

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