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U.S. Postal Service' <br /> CERTIFIED MAIL® RECEIPT <br /> r-i Domestic Mail Only <br /> Q' For delivery information,visi'o-J '•ebsite at www.usps.com®. <br /> ra t' - 1 <br /> m if:0T - *,^�'.' '� <br /> i"U Certified Mail Fee n `' <br /> 0— $ ��((1���11,Ql , ' <br /> Extra Services& es(check box,adtfe6sbpp nate) r�p0� ' <br /> rR ❑Return Receipt(hardcop� .. $`� �+ . <br /> O ❑Return Receipt(elactronic)(�C\$ v yJ Postmark <br /> ID El Certified Mail Restricted De $ \�\1 �� e/` Here <br /> O ❑Adult Signature Required T� ,��b. <br /> ❑Aduf Signature Restnctea Dehv _,1 <br /> D Postage GO�pS \r\v <br /> Er <br /> N $ •/1- <br /> Total Postage and Fees 1 <br /> $ �\ <br /> r Sent To L)\ 1, <br /> r-1 A.YA <br /> O Street and Ap'f,No.,or PO ox <br /> 501 <br /> Cdy,State,ZIP+4® } • -!j c,-e Le' c 3— <br /> ) <br /> • (, l� <br /> PS Form 3800 A 2015 PSN 7530-02-000-9047 See keverse for Instructions <br />