Page:United States Statutes at Large Volume 28.djvu/1197

 UNIVERSAL POSTAL CONVENTION-VIENNA. JULY 4, 1891. 1 17 3 Adminiatratimn of L. Form L. Posts of _. l Date stamp of the office of destination. REPORT OF PROCEEDINGS R°J*°*'* °¤ ¤“PP°¤°d fran ulent stamps. taken at .. in application of Article 18 .. of the Convention of the Universal Postal Union and ArtieleXXXI .. of the Regulations of detail and order of the execution of raid Ovmvention. Usn or A nannunnxr rosrson-srrsxr. In the year one thousand eight hundred and on the .,,, ,,,, , ,,_____ we, the undersigned ... , of Posts at ,,____,________,____ ygting in virtue of Article 18 of the Convention of the Universal Postal Union, and of Article XXX} of the Regulation of detail and order for the execution of said Convention, and assisting in the verilication of .. 'mailed on the .. , . . . of .,,,, addressed to M .. at. , weighing .. and urepaid at the rate of. . ., have found that this article had attached to it a postage stamp presumed to be fraudulent which constitutes the odenoe mentioned in Article 18 of the Convention referred to above. [ that he refuses to make known the sender The addressee has declared before nah! that the sender is unknown to him · [that the senderisM.• _ " » ..,.,... . .  . .. .  In consequence    to him --...---...-.-·--···--- · -··.. QJ; ii;;;;;;;;.}` ZZZ . }.§QkH.Q}.}}§.Q J.}`£{.£.l£.Q.§{{t}Q§,_Q QL;.} kA2i.}.` 1i.i{.§{.§{;t¥;£iX.§ iii3A;;; Li If Z Z Z ffl1Ijfjfjjjjfjjfjfjjfj We have prepared the present Report of these Proceedings, in single copy, in order that further proceedings may he instituted in conformity with Article 18 of the Convention and Article XXX Iof the Regulations mentioned above.    the-addneuee orSignature of the .. of Ponte. of hi: representative. ' ¤Nnture of the article (letter, sample, print, commercial papers. dw)- ’ Cross out, as the case may require, one or the other of these indications.
 * Nnme and address of the offender (il he resides in a large city, give street and number of house),