Post dDfftrc Steparlmritt
OFFICE OF THE CHIEF INSPECTOR
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This form should bo completed IN DETAIL by the COMPLAINANT AND THE POSTMASTER AND PROMPTLY FORWARDED, in accordance with the instructions under Section C.
REPORT OF THE LOSS, RIFLING, DELAY, WRONG DELIVERY, OR OTHER IMPROPER TREATMENT OF MAIL MATTER.
THE FOLLOWING QUESTIONS SHOULD BE ANSWERED BY THE SENDER OR ADDRESSEE ONLY:
1. Dato of mailing, day of wool:, hour of mailing, or between what	
2.	Post ofilco, county, and Stalo where It was mailed. If at a eta! ion 1 post ollico in a largo city, give location and name or numbur of 1 such fetation. (If in a foreign couutry, give post ollico, prov- ] inco, nud State.) j 3,	By whom was tho letter or parcel sent? Givo exact local or Htreet J uddress. j •1. Jtow wan it addressed? Tf addressed to a large city, tho street I address should bo added; if to a foreign country, the post 1 office, province, and State (or kingdom) must ho given, especially in ihceaso of Austria-Hungary, France, Ger- i many, Greece, Italy, Jtussia, ami Turkey. •r». If a letter, describe contents with precision. If monoy, stato total | amount nud denominations of bills. If a money order, draft, or < other negotiablo paper, givo number and particulars of issue. | f». If a parcel, describe each separato article theroiu, and state actual J value. If books or music, givo title. 7. What is tho nature of tho complaint—loss,rilling, damage, delay.	
	
	
	
	
	(Kamo of addressee.)
	(Street and number.)
	(City and Stato.)
	
	
	
	
	
	
	
	
9. Wna tho letter or parcel registered, ordinary, special delivery, or	
10.	Kamo and permanent address of tho person answering theso quos- 1 tions, and the dato upon which this inquiry or compiaiut is made. j 11.	If complaint la nmdo by sender, linvo you received information from tho addressee that tho letter or parcel has not Leon received ? 12.	Whut is tho exact jtrcscul address of tho addressee? j	
	
	
	
	
	
	
paid ? Are you uuro that the po»u»go wua fully prepaid ? J 11. Bid it bear a request to return If not delivered? Jr eo, state num-	
	
lo. AVns it deposited In tlio post ojficc, or in a street letter lor, or I handed to a postal employee? If deposited iu a box, givo loco- ^ lion ; if handed to a clerk or carrier, so stato. JG. 1 f tho letter or parcel was deposited in tho mails by somo ono other	
	
	
17. If tho complaint is of rifling, damage, or delay, submlt^lho en-	
	
19. Uas previous inquiry or complaint boon mado on this subject? If	
	
FURNISH FULL PARTICULARS ON BACK OF THIS FORM AND AFFIX IMPRESSION OF POSTMARKING STAMP.
c 5—CC91
Form 1510
[Sec Sections B, C, and D.]
[over.]