Ps Form 6012-A - Operation Santa Letter (Organization) Record Of Letter(S) Received By Individuals
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1Operation Santa Letter (Organization)
Record of Letter(s) Received by Individuals
Date
Last Name
Assigned Code(s) of Letter(s):
First Name
Street Address
City
ST
ZIP
Telephone No. (w/area code)
Email Address
ID Presented Verified by:
Assigned Code(s) of Letter(s):
Last Name
First Name
Street Address
City
ST
ZIP
Telephone No. (w/area code)
Email Address
ID Presented Verified by:
Assigned Code(s) of Letter(s):
Last Name
First Name
Street Address
City
ST
ZIP
Telephone No. (w/area code)
Email Address
ID Presented Verified by:
Assigned Code(s) of Letter(s):
Last Name
First Name
Street Address
City
ST
ZIP
Telephone No. (w/area code)
Email Address
ID Presented Verified by:
6012-A
PS Form
, December 2017
PSN 7530-10-000-6311
Page
of
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