a a |e

Print the complete addres: in plain block letters in the panel below, and your retere address tn the space
provided. Use typewriter, dort ink, or pencil. Write pletely. Very smelt writing le wet suitebte. os

a ; A! Be e
‘| FORREST CALLEN Meggett a)

   
 
 
 
 
 
 

esas
nye Wa

 

    
    
 

Director or FHys. ED T2028, fle 2e 1
UNIVERSITY 06 AANSAS 1 NAMM
<A WRENCE , JANSAS, | Ab, LBB

   
   

   

   

ey wt < of,
lo tO. ; Pe

Liu 4 tee {f

 
   
      

   

Sap aiped Ue pe
& A ¢ Ld, 4 Af af
: Saeed Cete
¥ 4 “ at
Aithlie “se
/