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U.S. Postal Servic&M <br /> CERTIFIED MAIL° RECEIPT <br /> Domestic Mail Only <br /> For delivery information,visit our website at www.usps.come. <br /> m <br /> IU Certified Mail Fee CEIVED <br /> e®�a ED <br /> Extra Services&Fees(check box,add fee as app.'� ; <br /> ❑Return Receipt(hardcopy) $ <br /> ❑Return Receipt(electronic) $ Postmark <br /> ❑Certified Mail Restricted Delivery $ <br /> ❑Adult Signature Required $ v /u`J <br /> ❑Adult Signature Restricted Delivery$ <br /> k„$.,; ion of Reclamation, <br /> nJ ining and Safety <br /> Sent To <br /> Street and Apt.No.,or Pb Box Na <br /> City,State,ZIP+44 <br /> PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions <br />