2017 Census Test - Self Response

Draft 3 (9-27-2016)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132

AN EQUAL OPPORTUNITY EMPLOYER

C

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

OFFICIAL BUSINESS
Penalty for Private Use $300
DG-8A(E/S) (9-2016)

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 17162

WASHINGTON DC

POSTAGE WILL BE PAID BY U.S. CENSUS BUREAU

To return your census form, please make sure the
BARCODE ABOVE YOUR ADDRESS appears in this window.
Para enviar de vuelta su formulario del censo,
asegúrese de que el CÓDIGO DE BARRAS ENCIMA
DE SU DIRECCIÓN aparezca en esta ventana.

US CENSUS BUREAU
PO BOX 5500
JEFFERSONVILLE IN 47199-5500

Size: 9-7/16 x 5-11/16"

window: 8-3/8w x 3/4"v (barcode window) and 1-1/8"v (larger window)

Thank you for participating in the 2017 Census Test.

Your return envelope should look like this.
Make sure the BARCODE ABOVE YOUR ADDRESS
appears in the larger part of the window.

DG-8A(E/S) (BACK)

DG-8A(E/S) (9-2016)

▼

Su sobre para enviar el formulario debe ser como este.
Asegúrese de que el CÓDIGO DE BARRAS
ENCIMA DE SU DIRECCIÓN aparezca
en la parte más grande de la ventana.

AN EQUAL OPPORTUNITY EMPLOYER
47132

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