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} <br /> S. .}, <br /> r Z 2 Li 0 623 582 <br /> Gy�lo r i <br /> US PC-st$l Ssr-iica <br /> Receipt for Certified Mail <br /> No lrzurarca Crvarsgo Provided. <br /> Do not use for Intemationai Mail See reverse <br /> to <br /> Street Z{Number <br /> Office`State,3 ZIP Code <br /> Postage $ O <br /> Certified Fee <br /> Spedal Delivery Fee <br /> Resu ded Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Data Delivered <br /> �q Rehm Receipt%*wig to Whom, <br /> a Dale,d Add-essee's Address <br /> TOTAL Postage 3 Fees <br /> CO Postmark or Date <br /> E D R: <br /> ■complete Kerns 1 and/or 2 for sdajond..Nose- I I Also wish to receive the <br /> w ■Complete Ken=3.4a,and 4b. i <br /> 'following services(for an <br /> o ■Pcard!your name and address or,ihs--m of ihle form so that we can return this extra fee): <br /> )• !! <br /> ■ vt ihin Corr in i:w iron:ni inn a.,.II..In.... ..........q to:n:}Oaco o r-. ' — T <br /> --- - _ " " 1. U Addressee's Address <br /> ■w�a Retum Receipt Requested'on the msilpk"below the arkW nurnber. t <br /> ■The Return Receipt wiH show to whom the&Ride was dsiverad and the date 2 ❑ Restricted Delivery <br /> c delivered. <br /> o Consult postmaster for fee. <br /> 3.Article Addressed to: 4a.Article Number <br /> 1 �v �Xiu <br /> 4b.Service Type � <br /> ❑ Registered -P::--CertiBed ti <br /> (',� i ` ❑ Express Mail /❑ Insured A <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery <br /> )7 U t� <br /> 5.Recefv 73 C- �' <br /> ressee's Address(Only if requested <br /> tee is paid) <br /> 6.S' ture: <br /> PS F 3811, December 1994 <br /> Domestic Return Reaipt <br />