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<br />I~- 995- o r s <br /> <br />File <br />Z 434 941 62~ <br /> <br />US Postal Service _ <br />~ <br />Receipt for Certified Mail <br />No Insurance Coverage provided ~ <br />Do not use for Intemafional Mail See reven:e <br />Sen~1o ~ <br /> U <br />~tmet d Number <br />G k ) ~ <br />P~ s~ ~D~e. S e, d IP C v Q7 <br />CUs G,n_ p <br />Postage M ~~ <br />^ ~ <br />~ <br />Cerofed Fee ~ ~ ~" ' <br />r n O7 L T <br />CV <br />v <br />Spetlal Delivery Fee <br />~ <br />Rrstdged Delivery Fee <br />m C <br />!'tY <br />~ Relum Receipt Showing to <br />_ Whom d Date Deliwmd - 2 N <br />n Rehm Receiq Slnwvp ro Whuq 1 <br />Q Ddb, d Adtesme's AtlNess N <br />~O 707AL Postage d Fees <br />$ ~ <br />~ <br />~2G <br />PosMadi or Date '" <br /> <br />LL r <br />l v <br /> <br />o SENDER: <br /> <br />O <br />•CampleU items 1 ardor 21or etltlidoral tbrvip•. I also wish to receive the <br />e •COmplete items 3, 49, entl 4D. fOllOwing 50fVICBS (tOr 8n <br /> •Pdm your name ertl etltlreas on Ne rewrea of tNe form ec that we can rrnum tNa Bxtfa feB): <br /> <br />o CBrtl W yOp. <br />•M~ drh brm to the hom of the niellgece, or on the beds i <br />f space dcea not <br />7. ^ AddfessBB'S Address 8 <br /> •Wn'te'ReNm Reza t R uwMad' an the nail era below the article number. <br />2. ^ Restricted Delivery ~ <br />y <br />~ •The Retum Recrnpt will show to whom the article waa delivaretl entl iha date <br />e tlBllverBd. Consult posbnaster for fee. <br />na 3. Artlcle Addressed to: 4a. Article Number - o <br />f ~ d k-l t~- ~ 4 4 q = <br />o •L~I~"~I,(°. ~i,~4L121 ~'~eL~.l-~ll-~ 4b. SerWce Type ~ <br />u J <br />~' L . ~.X ~ I '2 ICJ ^ Registered ~. Certified ~ <br /> ^ Express Mall B-}nax <br /> <br />~ ~w,~ c® ~ l ~ ~~,,cv <br />^ Retum Receipt for MettAtarttyse= p <br />`x ~ / <br />5. <br />and lee is paid) <br />6. SignaNlrg:/p"~pgresse~ ogAp6drI,,~VII/ A~ / <br />PS Forth 3811, December 1994 X02595-e]-8-01]9 <br />