Form 1556-1

PMDS PUBLICATIONS REQUISITION FORM FOR USFW Date: 1/26/05 Page 1 of 3 Office Account Code: Requestor's Name: Phone Number: TO: BLM/PMDS, SC-657B. DFC, BUILDING 41 Ent E16. DENVER, CO 80225-0047 OFC: FTS/COM 303-236-1975/7637. PMDS FAX: FTS/COM (303) 236-0845 ................
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