UNR form to a valuable parcel for 200 rubles, weight 42.00 pounds, sent from Berdichev to Dunaevzi on January 02, 1919. It was received on January 08, 1919. It was given to receiver on January 09, 1919. Tax: 21 rub. for a weight and 2,15 rub. for insurance and sealing. Form is franked with: Russian Empire stamps (7 rub. - 3 pcs.) with violet trident overprint Kiev 2; stamps (1 rub. - 2 pcs.) with trident overprint Kiev 2; stamp (20 k. - 1 pc.) with trident overprint Kiev 1.
Annulled cuts on all stamps.