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6~ '7Y -D4a born es ebu <br />Z 191 597 068 <br />US Postal Service <br />~;, Receipt for Certified Mail <br />`~ No Insurance Coverage Provided. <br />Do not use for Inlemational Mail /See re <br />r l <br />Federated Service Insurance Company <br />121 East park Square <br />Owatonna MN 55060 <br />s ~s <br />Cenitied Fee <br />_ Spedal Delivery Fee <br />Resaiged Delivery Fee <br />%ul <br />:'~ Retum Receipt Showins <br />vm,,,., a n.._ n_~___. <br />N <br />o_ <br />r ~jt7 <br /> <br />c• <br />9 <br />.~ <br />n <br />(~ <br />f~ <br />c <br />r° <br />d <br />a <br />E <br />8 <br />N <br />W <br />0 <br />0 <br />a <br />s <br />F <br />W <br />S <br />O <br />>w <br />A <br />~GI\YGI'1: <br />•Complete items 1 and/or 2 for additional services. <br />I a150 Wish f0 receive fhB <br />•Complete items 3, da, aM 4b. }ellOWing services (far 8P <br />; our <br />nama and address on the revana or this fannao That we can velum thin <br />•~M extra feel: <br />r <br />d 6 <br />•Attech thm brm to the ham of the mail ieu, or on me back it s ace does not <br />p p <br />1 <br />^ Addressee's Address <br />permit, . Z <br />•Write'Retum Receipt Requeared'on the meilpiec0 below the article number. 2. ^ Restricted Delivery y <br />•Tha Retum Receipt will show to whom Ne snide was delivered end the tlale <br /> <br />delivered. <br />Consult postmaster for fee. 6 <br /> <br />' <br /> d <br />Federated Service Ins~rrance Company <br />] 21 East park Square <br />Owatonna MN 98060 <br />X <br />PS Fonn <br />December 1994 <br />4a. Article Number ~ u <br />z. i 4 (~ 4 7 o~R~ <br />4b. Service Typlir ~., <br />v <br />^ Registered ~ Certified a <br />^ Express Meil ^ Insured <br /> <br />^ ReNm Receipt for Merchandise O COD N <br />7. Date of Delivery <br />JUr1 3 0 i999 <br />a <br /> <br />8. Addressee's Atldress (Only it requested ~ <br />and lee is paid) t <br /> F <br />