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Form 109,
Nov., 1913.

An eligible should be notified on this form of his selection from the register and this part of form will be retained by the eligible to whom it is sent. 

NOTICE TO ELIGIBLE OF SELECTION. 

____________________ United States Civil Service District.

Office of the Postmaster, New York, N.Y., April 26, 1921

Palmer Hayden

Sir [[strikethrough]] (or Madam). [[/strikethrough]]

You have been selected for appointment as Carrier and will report on [[strikethrough]] or before [[/strikethrough]] May 2, 19121, to [[strikethrough]] Mr. [[/strikethrough]] Room 215, General Post Office, 33d St. and 8th Ave. at 10 a.m., to complete the necessary details. 
[[strikethrough]] Your written acceptance or declination (Notice No. 1 or 2) should be immediately forwarded to this office. [[/strikethrough]] Under the regulations of the Commission an eligible who declines an appointment tendered him will not again be certified unless he shall request, in writing, the benefit of the remaining certifications which the rules allow, stating reasons, which must be satisfactory to the Commission, for declining appointment. 

Very respectfully, 

(Name) THOMAS G. PATTEN

(Title of Official) Postmaster