One leaf typewritten on the front side. The document is in excellent physical condition. The document was laminated. There is a minor stain of unknown origin at the upper left corner. There is a minor stain of unknown origin at the lower right corner.

One leaf typewritten on the front side. The document is in good physical condition. The document was laminated. There is a minor tear at the upper left corner. There is a stain of unknown origin at the right top edge.