Beskrivning: Mönsterhäfte med omslag i ljusgrönt papper (20,7 x 30 cm) som på insidan har fyra numrerade cirklar med en beskrivning på tre rader i nedre högra hörnet.
Två blad oblekt papper vikta på mitten som ett häfte. Beskrivningen med cirklar, sifferstaplar och text.
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