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Show O~e< ~ ;;::•;.:;,';,~· ;:,~;~:'WJj,_NJ;,~,-9:; ;:!{J t :J-/ J ~:? Soldier, CLAIMS AND RECORDS DIVISION Form. 2970 Ed. 5,000- F. C., July 2-17 __________ ____________ , late _ --------------------------------------- Co. ____________ , _____ _______ Regiment, __________________________________________________________ _ _ Applicant, p. 0., ------------------------------------------------------ County, ----------------------------- ______ _ State of _ ------------------------------------ Return this application, when complete, to the "Auditor for the War Department, Washington, D. C." 2-3729 7 1( / - |