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Lost receipt

MC-1974-034

Subject: 
Loss of Unused Official Receipt (Gen. Form 13 A) Nos. 7734957-0, 7735266-0, 7735267-0 (Originals, Duplicates, and Triplicates) under the Custody of Mr. Benjamin M. Falqueza, Bill Collector/SDO of Romblon Irrigation Services, Odiongan, Romblon
Date Signed: 
June 17, 1974
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