TSEV NEEG HMOOB VWJ LUB KOOMHAUM KOOMTES SIBPAB THAUM MUAJ IB SIAB OB QIG.
                                      
TSEV NEEG HMONG VWJ NYOB U.S.A LUB KOOMHAUM.
                                                                           NYOB MILWAUKEE,WI
                                                                                  PAB PAWG.
                                                                         
                                                          DEJ SIAB PAB TXHAW LUB KOOMHAUM

                                                 KOJ YUAV TAU MUAB HAIS LAIJ MAM LUAM TAWM .

                               NPE:_______________________________________XEEM: ___________________________
                      
                       CHAW NYOB: ________________________________________________

                       ZOS: _____________________________________XEEV:_________________________LEJ LAV:_____________

                      XOVTOOJ:_____________________________________XOVTOOJTES: __________________________________

                                                                 DEJ SIAB PAB NYIAJ LI CAS.

                                                          NYIAJ PAB YOG: _______________________

                   DHAU LI NTAWM TSEV NEEG HMONG VWJ LAWM. COV NYIAJ NO YUAV TSIS YOG LOS PAB TAG RAU
                   VFAC  NYOB RAU LUB TEB CHAW MIS NO, LOS LWM THAJ CHAW. TSUAS PAB RAU TSEV NEEG VWJ
                   COJ TAUJ   MUAJ   NPE XWB. COV TSIS MUAJ NPE, YUAV TSIS TAU KEV PAB LOS NTAWM COV MUAJ
                   NPE:
                                                                          SUAMNPE THIAB TXAUS SIAB.

                  SAUNPE RAU DAIM NTAWV NO KUV TXAUS SIAB LOS UA IB TUG TSWV CUAB RAU LUB KOOMHAUM VFAC
                  LOS NRHIAV NYIAJ PAB TXHAWB NYIAJ RAU LUB KOOMHAUM NO:

                 SUAMNPE IB ZAUG NTXIV: ___________________________________HNUBTIM XYOO:___________________________

                PAB XA DAIM NTAWV NO TUAJ MUS RAU TSEV NEEG HMONG VWJ COJ TAUJ LUB KOOMHAUM SIB HLUB
               THAUM  MUAJ IB SIAB OB QIG:
                                                         
                                                                 CHAW NYOB:      THAI VUE
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                                                                                  MILWAUKEE,WI 53208
                                                                                            U.S.A
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ROV MUS SAIB RAU THAWJ SAB