SACREDMUNICIPALITYOFDEMA·UNITEDVIALISTS

VOLUNTARY SURRENDER

FORM D-17-B

The 100 numbered cards were issued by hand and are accounted for separately. A subject holding no card may still be entered into the register, under a provisional designation, by submitting this form. Provisional records carry no number of their own and are filed as UNIDENTIFIED PERSONNEL.

THIS ISSUES A PROVISIONAL DESIGNATION AND TAKES YOU STRAIGHT TO THE FORM. NOTHING IS RECORDED UNTIL YOU SUBMIT IT.