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�-- Department of the Interior, <br /> CENSUS OFFICE. <br /> OFFICIAL BUSINESS. <br /> +N U An in <br /> this envelope to avoid the payment of a <br /> �c ®ate matter of any kind will be subject <br /> r� j e of Three Hundred Dollus. <br /> ti/J / <br /> d 103C NM <br /> go <br /> TO THE CHAIRMAN OF SELEC N, WSW r. <br /> `--------- ------.._ <br /> Town o ------------------------------------------------------------ -------- ------------------------------ <br /> County of <br /> State of.------ <br /> -------- �r <br />