One leaf, typewritten on the front side. The document is in good physical condition. The document was laminated. There is moderate lamination-related creasing on the document. There is minor fraying at the left upper edge.

One leaf typewritten on the front side. The document is in good physical condition. The document was laminated. The upper right corner was folded into the laminate. There is a minor tear at the right upper edge. There is a minor tear at the lower…