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CERTIFIED • ' <br /> (Domestic1 No Insurance Coverage • •-•) (Domestic Mail I No Insurance Coverage • •- <br /> r co <br /> r �• <br /> , Postage $ <br /> Postage $ _ <br /> a / <br /> 7 ^�. <br /> 7 . jF [7 Certified Fee <br /> Certified Fee •3 <br /> Postmark 't Posh <br /> Return Receipt Fee _.7 ri Return Receipt Fee <br /> tjpC' Here, <br /> (Endorsement Required) ` ct��``t' n�1 t p (Endorsement Required) : <br /> Restricted Delivery Fee ?,V t `I C3 Restricted Delivery Fee <br /> :3 (Endorsement Required) (� C3 (Endorsement Required) j <br /> 7 Total Postage&Fees , O Total Postage&Fees 1 . <br /> n m V <br /> Sent To Ln Sent Tq <br /> ----------------------------- ---- -------------------------------------------------•--------------------------------------------- <br /> 7 Street,Apt.No.;ior��'O Box No. C3 Street,Apt.No.;or POrB,ox.5No. <br /> y,State P+4 - -- - ---- ------------- --- ------------------------- <br /> City,State,ZIP+4 <br /> D �� �% zt> 1 City, G T7� co 8 <br /> ,,, See Reverse for Instructions PS Form 3800,May 2000 See Reverse for Instructions <br /> (DomesticU.S.Postal Service U.S.Postal Service <br /> I CERTIFIED MAIL RECEIPT <br /> CERTIFIED MAIL RECEIPT <br /> I No Insurance Coverage Provided) (Domestic Mail • No insurance Coverage <br /> n C3 <br /> n r. <br /> r <br /> O Postage $ Postage $ <br /> 7 <br /> 7 Certified Fee 3 J Certified Fee <br /> -1 Return Receipt Fee ! N ostm r <br /> 7 (Endorsement Required) V Here r3 Return Receipt Fee t� 4e�' <br /> 7 p (Endorsement Required) % <br /> Restricted Delivery Fee \ 6 Restricted Delivery Fee <br /> 7 (Endorsement Required) @@ O` O (Endorsement Required) <br /> Total Postage&Fees .p C3 Total Postage&Fees $171 <br /> m <br /> aSent To trl Sent To <br /> 7 Street Apt Ne.;or PO No. or <br /> 7 `� \i��GC13 N �v�v�1 - O Street.Apt.(,N�ojU o <br /> ------------------------------------------------------------------------------------------- <br /> City,State,zC r,),)va L/1-" t g)i 2-,2- r%- City,State,T2e9'.C'0Vwtit ,C-0 <br /> PostalPS Form 3800,May 2000 See Reverse for Instructions PS Form 3800,May 2000 See Reverse for Instructions <br /> (DomesticCERTIFIED MAIL RECEIPT <br /> Only; No Insurance Coverage • •-• <br /> n <br /> n 3 <br /> Postage $ <br /> O <br /> 7 c- <br /> Certified Fee - i <br /> ,� <br /> ReturnReceipt Fee _ �� <br /> j (Endorsement Required) t � 3' <br /> � Restricted Delivery Fee 5 i .;. <br /> (Endorsement Required) <br /> ��. <br /> :1 Total Postage&Fees � � •� V �� <br /> n <br /> nSent To <br /> =1 Street,A t.No.;or PO Box No. <br /> � �O� �YLI 4ve-M d1C—, <br /> 7 ------------------------------------------------------------------------------------------------- <br /> city,State�if��4. /o g�,G� " <br />