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THM Certified Mail Receipts M-1977-140 <br /> MV-2016-043 <br /> Postal <br /> CERTIFIED MAILP RECEIPT <br /> cO Domestic Mail Only <br /> Ln <br /> Ir <br /> C3 O Postage $ <br /> CO <br /> o Postage: $0.465 "k <br /> a IE Certified Fee: $3.300 <br /> o IE Return Receipt Fee: $2.700 <br /> ni <br /> '-1 <br /> N Total Postage &Fees: $6.465 <br /> Sent ro r <br /> G A'la�►-a s <br /> Street&Apt.No., r] / `" b� 15Cx Z v(e <br /> M1 or PO Box No.1 s0 0 N 9A/M I?-aa{4------------------------------------- <br /> City State,ZIP+4 <br /> ------------------- <br /> Moll, Vic-& o ell jf <br /> SENDER: SECTION . DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X v�0�i❑Addressee <br /> ❑Agent <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. B. Received by(Printed Na C. a of De've <br /> me) ry <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits, <br /> D. Is delivery address different from item 1? ❑fes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> -rA O Aar. G. M a-f as <br /> Mat�tgs fo,•cvet , -Tic. <br /> 1 sd o N. Farr✓' Rca a 3. Service Type <br /> P.D 1Jc x Z ❑Certified Mail® ❑Priority Mail Express' <br /> ❑Registered ❑Return Receipt for Merchandise <br /> MO/!fe V,1.f4 c�7 ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7014 2120 0001 8040 0958 <br /> (transfer from service Iabeq <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />