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m SENDER: <br />O •Carplete Items 1 anrVor 21ar edditiaW serNCes. <br />n •COmptete ilams 3, 4e, and 4b. <br />u •prury your nme and address an the revane d Ilia lone so that we can return the <br />~ card to ybe. <br />a aAtteeh mis bmr to tM honl d IM mailpieu, a on the bade if spare doss nd <br />oe~it. <br />,~ taWnle'Rerum Receipt Requesrad'M IM maNpieu below tM adicle number. <br />eTM Return Raceip rill show to whom da snide was defvend erN tM date <br />C delivered. <br />O <br />y . Artlcle Addres ed to: <br />o. <br />~~ C <br />S. Received By: (Print Name <br />~ 6. Signature: (Addres or <br />s <br />I also wish to receive the <br />fogovring services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address ~ <br />t° <br />~ <br />2. ^ Restdcted Delivery <br />Consult poshnaster for fee. _ <br /> Z ~ :,~ <br /> Sernce T <br />4b <br />e <br /> <br />{ f~/ <br />"- yp <br />. <br />^ Registered <br />p~ Certified <br />a <br />• <br />~ ^ Express Mail ^ nsurled ~ <br /> ^ Return Receipt for Merchandise ^ COD ~ <br />{~. ~ 7. Date of Deli ery ~ <br />~ <br />/l'/YVI e <br />r <br /> 8. Address 's A ress (Only i requested Y <br /> and /ee is paid) '~ <br /> r <br />1994 <br />~ Z 191~`5~t8..h~5 <br />US Postal Service <br />~ Receipt for Certified Mail <br />W No Insurance Coverage Provided. <br />Dll M/ IrC11 rrfr ir110Tn1iMa1 Mail /Can ~meroel <br />~ <br />I <br />J• <br /> ~~3~ <br /> ~ -_ <br />~ P lice, Slat , 8 IP Code ~ <br />7 <br /> <br />:I7 P°~ i '~ <br /> <br /> <br />N Certified Fee <br />~ <br />.., r <br />~ Spedal Delivery Fee ~ ~_--'~~~", <br />0 Resldcted Defvery Fee -_-' <br />CDrn <br /> Renrn Recepr Showrq ro <br />When 8 Data Deivemtl . (~ <br />C~ <br />~` <br />~ Ream Rxepl SleiwgbNlem, <br />Date <br />e Adiesteds AEdess <br />^ , <br /> TOTAL Postage 8 Fees ~ 3~L{ <br /> <br /> Posbiterk or Data <br />~J <br />a <br /> <br />