**American International Companies**

DATE: 12/20

TO: [Name]
FROM: [Name]

AT: [Department, Branch or Company]
AT: [Department, Branch or Company]

SUBJECT: [Subject]

MESSAGE:

[Message content]

REPLY IN THIS SECTION — DO IT NOW

TO: [Name]
DATE: [Date]

SIGNATURE:

DO NOT SNAP AWAY CARBON
DETACH CANARY - FORWARD WHITE AND PINK
WHEN REPLYING DETACH CARBON - RETURN WHITE COPY
RETAIN PINK COPY FOR RECORD

Form 9064 (10/75)