One leaf typewritten on the front side. The document is in good physical condition. The document was laminated. There is a significant lamination-related crease. There is a pushpin hole at the upper left corner. There are several minor tears along…

One leaf typewritten on the front side. The document is in fair physical condition. The document is laminated. There is a significant tear at the lower right edge. The upper right corner is folded over within the laminate. The informant citation is…