X. Y. TELEGRAM

Form--------

CLASS OF SERVICE DESIRED

Telegram Day Letter Night Message Night Letter

Receiver's No.

Check

Patrons should mark an X opposite the class of service desired: OTHERWISE THE MESSAGE WILL BE TRANSMITTED AS A FULL-RATE TELEGRAM

Time Filed

(Send the following message, subject to the terms on back hereof, which are hereby agreed to)

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To A. B.,

Street and No.------------------------------------------------------------------------------

Place -------------------------------------------------------------------------------

--------------------------------------------- (Message) -----------------------------------------------

C. D.