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Courtesy of UCLA, Library Special Collections, Charles E. Young Research Library
http://www.oac.cdlib.org/ark:/13030/hb667nb7v8/?order=1

Title:

Sample claim form for damages

Creator/Contributor:

United States. Dept. of Justice, Author
Ishigo, Arthur Shigeharu, Author

Date:

1949

Contributing Institution:

UCLA, Library Special Collections, Charles E. Young Research Library