POBoxes_1093Online-v2nt-June08.xls.pdf - Customer Phone Box...

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Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials Verfiy Initials or recognized corporate identification card. 5. Telephone Number (include Area Code) ( ) 6. Email Address Passport or Alien Registration Card: 11. Signature of Applicant (Same as Item 3). The applicant certifies that all information furnished on this form is accurate, truthful, and complete. I understand that anyone who furnishes false or misleading information on this form or omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment. Number of keys issued: Post Office Date Stamp Date Paid Online Service Dates Number, Street, Apt. no.: Privacy Notice: See reverse side of this form. PS Form 1093, January 2012 (PSN 7530-02-000-7165) City, State: ZIP Code™: SPECIAL ORDERS 10. Postmaster: The following named persons or representatives of the business/organization listed above are authorized to
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  • Fall '19
  • Identity document, Alien registration in Japan, KIMBERLY HICKS, TERRENCE HICKS

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