DATE .- • ; 9 P /friet e SIG URE kV/ rye kill • T jj • . •. - &ATV. - SIGNATURE Collanif«E I srrri-t, -. . NOTE: Pending receipt of the Cotillions of Almost' Rellettilnlen; the . nosh • sr be oneretad for a period not In of 90 nays. dieing 'Nob rise idni PINK they of this application mus