UNIVERSAL POSTAL CON VENTION-WASHING’l‘0N. J mm 15, 1897. 1729 - I. Form I. Administratekm of Date stamp of the edioe VNU Q7- ·-·- _ of destination. ‘ REPORT OF PROCEEDINGS B, on su N.,] _ _ _ han ulent stanlpe. taken at .-..m application of Ansel; 18 of the Convention of the Unicsnul Portal Union and _ Article XXX q/the Regulations of dawn'! and ordorfortlnc sueudon q/said Convention. use or A nnvnurnr r0srso¤·e‘rs1n*. In the year one thousand eight hundred and on the ... . ...,... ‘ we, the undersigned .. . . of Posts at .. . ... soting in virtue of Article 18 of the Convention of the Universal Postal Union. and of Article XXX of the Regulations of detail and order for the execution of said Convention, and assisting in the veriilcstionof ... . .. Imailedonthe . .. o1' addressed to M at , weighing and prepaid at the rate of . .. , have found that this article had attached to it n postage stamp presumed to be fraudulent, which constitutes the olfenee mentionedin Artinle lsof the Convention referred to above. ` (that he refuses to make known the sender The addressee has declared before ne * { that the sender is unknown to him [that the sender is M.! _,,... . . . ... . . . . . . . In consequence yy have delivered m him .. . . . . . . . . . . wehavo seized.,., _,,> . .,,. . ...,. , . .. ... .. ... .. for the purpose of transmitting them to the Administration of Posts of A... . .. We have prepared the present Report of these Proceedings, in single copy, lu order that further pro. oeedings may be instituted in conformity with Article 18 of the Convention and Article XXX of the Regulations mentioned above. Signature of the addressee or Signature nf the .. of I ’o¢ts. qi Mn rrpruemative. ---..-.-.-..------·----· l Nature of tho nrtirlv (letter, sarnple, print, commercial papers ctc-,). lefrmm out, as the vase may require, one or the other of these nnnlioatious. · n xhmo and address of the otiender (if he resides in o large city, give street and number of house) vm. xxx.-109
