Ukraine. RSFSR. UNR form to a valuable parcel sent from Uman on February 15, 1921.

UNR form to a valuable parcel at 84 rubles, weight 35,4 pounds. It was sent from Uman to Petrograd on February 15, 1921. It was received on April 08, 1921. It was handed to the receiver on April 10, 1921. RSFSR tariff was 2,52 rub. Form is franked with Russian Empire stamps: 15 k. - 7pcs.; 3 k. - 9 pcs.; 20 k. - 6 pcs.
Form has a vertical bend.