NT TIME: 0 C ts An) LOCATION: a ot5r REG # NAME UNIT REG # NAIVIEt UNIT OUT-COUNT BY UNIT 4. B-A C-A E-N ES G-N G-S I-N K-N K-S ', R-A 74-A Z-B • I Total Out-Counted: le This farm must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to affecte

ics n 15. 16. 1-fss 17. -.1 j 18. Es 23. 24. Ac--J 19. 20. 21. 22. OUT-COUNT BA' UNIT C-A E-N E-S G-N G-S K-N K-S ' R-A Z-A Z-B Total Out-Counted: H-A This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affe