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° SENDER: <br />•Cornpela ltxn• I anN« 2 kr aduswrl ••ni[••. <br />l eNhO wish t0 receive the <br /> •CanplMe item 3, 4, and 4b. tGNDIM110 lBNIC6S (tOr aD <br /> •Pdsa your nsme and adMea on tha revane o11tY• form w tn•t we can r«un tNa gMre fee): <br /> Gutl 10 yOU. <br />•Atlach ttu• brtn to the hoot a the mYlpi•n, «on In• bads if apace doM net <br />1. O Addressee's Addreee <br /> •W~'Refum Rac•ipr RpuNfed'on the rneilpiac• bNOw the adida rearbc 2. ^ RBStdaed Delivery <br /> •Th•Relum Reulp eel atww to wtpm tlr artid•wu daYwwatl aM Vr dale <br />g aliv«•d. Consult ptutmaster for fee. <br /> s. Ardae Addre55ed ro: <br />Q,hrtsdro~ V ors. 4a. ANae NUntber <br />~f36 ~,~3 ~-~~ <br /> i <br /> t,~., tyq_ <br />Ua r r A. t~ .Serv <br />ce Type <br /> _ <br />1~K 13 <br />I °~~ i ~ ~ c ^ Registered ~Certl+kd g <br /> n <br />~. <br />~~- ~ ~ <br />8'OSO~ ^ F~tpress Mafl ^ Insured <br />R <br />R <br />M <br /> ~~ <br />. ^ <br />tsttrm <br />ecegt for <br />endtarayse ^ COD ~ <br /> 7. Date of Del v <br /> - ~ ~ <br /> 5. Received By: (Print Nance} 8. Addressee's Address (Only it requested <br /> erld lee 15 paid) <br /> 6. Si e: (Add tJ <br /> <br /> . fS Fomn 3817, D r taw +oslsoaet:7 stic Retum Re <br /> <br />m <br />m <br />O <br />E <br />o` <br />LL <br />a <br />P 436 783 463.1 j~~ <br />~ ~ ~ ;y <br />US Postal Service 'JP\ n <br />Receipt foFCertified Marv?\r _ <br />o~ <br />No Insurance Coverage Provided. <br />Dn not irca for International Mail /See rev <br />Sant to Fishphn~ q.rtR.A. <br /> IC <br />Numbe <br />Stm <br />t <br />C w / > <br />Pmt Olrrce, Slale, 6 LP C~ U y <br /> CrO <br /> <br />Pmtape js ; j <br />Certified F ~ <br />~~ <br /> C <br />Spedal iva F ~ m <br />Restride0 ak Fee ~ rl r <br />' ~ <br />Ralum Race ~Q <br />nc~ E <br />Whom 8 Data ~ re G C.J ~ <br />Realm RxeglSOa*9 gWMn, <br />' <br />Date, 8 AAlressee <br />s Address <br /> <br />TOTAL Postage b Fces <br />~~ , fv (+7 <br />~ <br /> <br />Posbnark or Date r <br /> <br /> <br />