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~. <br />m <br />9 <br />m <br />d <br />d <br />d <br />0 <br />d <br />v <br />a <br />O <br />u <br />W <br />O <br />0 <br />a <br />A <br />•Complete cams 1 entYar 2 Icr~edditiorml aervicec. <br />~ 1 aISO Yylsh t0 rBC$tVe the ; <br />~ <br />~ <br />~~~*-'' ~ <br />•Compl•IB items 3, 4a, and 46.: ~f0110Wing sefVIC85(f0r en- <br />• <br />' <br />~ <br />~ <br />~ <br />• Pdnl your name antl address on Ifle reverse of this form so that we can r•Wm This ".extra IBB): <br />~ <br />~ ~ - <br />~ <br /> <br />cartl to you. <br />• Adach This form to Iha front of the mailpiece, or on the back it space does not , <br /> <br />1. ^ Addressee's Address <br />~ <br />•~ <br />permit. <br />•Wdre'Re1um Aeraipt Requested' on the mailpiera below the aniUe number. <br />2. ^ Restricted Delivery <br />y <br />.The Retum Receipt will show to whom iha amide was deliveretl and rho date <br />delivered. Consult postmaster for fee. <br />\, Ya () C t ~ ~"1 L <br />~~ ~o ~ S~ f <br />~~GLVV~.-->, C~ ~' I O SZ <br />W <br />a <br />w <br />IV <br />ll7 <br />Q <br />tD <br />7 <br />G <br />m <br />n <br />~.+ <br />N <br />~_~ <br /> <br />4a. Artic Number <br />~ <br />5` <br />~~ m <br />a°i <br />r~ <br />- 15 <br />7~ E <br />4b. Service Type ~ <br />V <br />^ Registered ,~Cer9fied ~ <br />^ Express Mail /C~ Insured 5 <br /> <br />^ Retum Receipt for Merchandise ^ COD b <br />~ <br />7. Date of Delivery <br /> 0 <br /> <br />8. Addressee's Address (Only i/requested ~ <br />and lee is paid) _ <br /> F <br />G Z `191 'S 9 8 5%~ - - <br />US Postal Service 1 ~~ <br />Receipt for C ed~lll r,ICyt•~ <br />~„~ fVO Insurance Covereg <br />=, Do Trot use for Intematiorta~llarl See reverse <br /> <br />~ S~ <br />Office, State, 8 LP Cade l .S <br />Postage S <br />CeruXed Fee <br />Spedel Delivery Fee <br />Revvided Delivery Fee <br /> <br />ReNm Recap Shovring ta- -- <br />whom a Date De5vered. ' S1 <br />RBCm Recap SM•elgb , <br />' ~ <br />~ <br />Date,B Mhessee <br />s rtd6 <br />TOTAL Postage dFees = ^' t <br /> <br />Posbnedl or Dale 9' f <br />..~ ~ \ <br />n... <br />i:~ <br />- ~ <br />_- <br />~ <br />o <br />LL <br />y <br />a <br />