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1918.

Nygade 7

Kjøbenhavn K.

M

t

Undertegnede anmoder om at blive optaget i KRAKS VEJVISER paa føl­

gende Maade:

N a vn :............................................................... -.............................. ................... ..............

Stilling:.............................................................................................................. ...................

Forretningsadresse:............................................................................................................

Telefonnummer:.................................. ...............................................................................

Privat Bopæl:.............................................................................................................. .......

Telefonnummer:...................................... ....................... -................................... ............

Staar nu anført i Vejviseren saaledes:............................................... ......

Forretningsadressen ønskes i Fag-Registret optaget under Overskrifterne:

med Tilføjelse af Tekst:.

m

Datg.

Underskrift.