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       Dear Sir,
           I wish to report reception of your station broadcasts on the dates
           as indicated below.
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      				Program details:

 Date: ------------------------------------------------------------------------

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      [S]ignal/[O]verall  5-Excellent 4-Good   3-Fair     2-Poor   1-Nil
      [I]nterference      5-None      4-Slight 3-Moderate 2-Severe 1-Extreme

      Sincerely yours,