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[printed form] Headquarters: Btry. C. CLASS B PASS Date Issued: 12 Oct. 1945 To: DENNIS, J.A. (Name) PFC (Grade) 32757852 (ASN)

Organization: 690 FA BN entitles holder, whose signature appears below, to the privileges stated on the reverse side. D. C. Harrod Commanding Officer 1st Lt., FA Grade

Signature of soldier [blank]

[reverse of form not scanned]