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Co. 55 Water Street 10041 WRITER'S 1 NUMBER Cooper Union 4th Avenue & 8th Street New York, New Yor

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041 (212) 952-5000 WRITER'S DIRECT DIAL NUMBER Cooper Union 4th Avenue & 8th Street New York, New Yor

Payrol l , one dupl icate SENT 4/ to REC'D /t% Bonding Appl ication /i-"I Stock Exchange Form /ti Security Accounts form Fair Credit form Locator Card Benefits Enrol lment Card SENT 31 Ito Hospital ization Cards SENT ---117; • L'i Waiver Card (if appl icable) &if W 4 form SENT to Payrol l

-.1/20/53;agpliCation listed 1/20/50. EDUCATION COOPER UNION NEW YORK, NEW YORK Appl. Dates: 9/66 to 6

PCA" (one for Payroll , one dupl icate SENT J116 RE APPLICATION Bonding Appl ication Stock Exchange Form Security Accounts form Fair Credit form Locator Card Benefits Enrol lment Card SENT Hospital ization Cards SENT ----TT: Waiver Card (if appl icable) W 4 form SENT to Payrol l ...SkUP i r , Ca