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April 2, 1947

INSTITUTE ON RACE RELATIONALS

Name BEN STROUSE
PLEASE PRINT

Address WWDC -1000 Conn. AVE   Zone No.6
PLEASE PRINT

[X] Contribution  Amt. $10.00
[ ] General Membership $1.00
[ ] Contributing Membership Amt. $ [[blank line]]

Receipt will be mailed to you.

LILLIAN HAYMAN KANEGIS, Treasurer
2506 Woodley Rd., N.W., Washington 9, D.C.