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-y~-°'~ ` <br /> <br />e <br />9 SENDER: <br />•CgnplBte dame 1 Bndror 21or additional BBNiC•B. <br />18150 Wlsh t0 rBCBIVB thB <br />r •COmplete items 3, /a, eM db. follOWing SBIVICBS (fOf Btl <br /> • Pdm yolu nertle and eddreae an the revana of Ibis Iarr1l so Net we cart velum ttie B)dre fBB): <br /> <br />~ card to you. <br />•AaaM Ibis brm to the hoM of the meilpiere, or an the beck it space does not <br />t, ^ Addressee's Address <br />~ pemlit. <br />•Write'Rerum Receipt Requesred'on the msWpiece D4ow lheertiUe number <br />•The Relum Receipt wip show to whom the ertitle was delivered end the date <br />p,^RBStdcted DBlivery <br /> <br />~ <br />0 delivered. Consult postmaster for fee. <br />p <br />9 3. Article Addressed to: 4e. ArCCIe Number <br />~ 3 <br /> <br />a <br />E ' Q Q nn 1 M ~S <br />u~~`^ <br />' ~ <br />~ 7~ µ'' <br />~ Service Type ~ <br /> - <br />• <br />~ Registered ~ Certified <br />- °' <br /> X ~l ~ <br />~ ~oY~ ^ F~cpress Mail ^ Insured / ~ <br /> ^ Retum Receipt for Merchandise ^ COD ~ <br /> 1 ~' / J G ~ ~/~ ~ ~ <br />l WI J ~ te of D I' ry <br />7.R a <br /> ~ ~ <br />KJ~C. o <br />T <br />. S. Received 8y: /Print Name) S. Addressee's A ress (Only i1 requested <br />T ti. Slgne r~: (a o(~SBe OrA~il <br />PS Forth 3811, December 1994 <br />and !ee is paid) <br />F <br />102595-9]E-0Il9 <br />i <br />Z 434 941~j~23 ~ <br />>#` `a <br />US Postal Service <br />Receipt for Certified r <br />No Insurance Coverage Provided. <br />.. 1... InlnmMinnel tleil /Rm mVaISP <br />v <br />a <br />c <br />a <br />C <br />C <br />4 <br />O. <br />c <br />b <br />U <br />O <br /> <br />f <br /> <br />P t Olfice, S 1e~8 I C <br /> <br />Postage N , <br />Certified Fee ~ r~ <br />Spedal Del' ~ - n <br />ResidUed De v~ ee ~ .... <br />Rehm Receipt 'ng to ~6 Z <br />Whom 8 Data Def <br />Realm Receg15ho•yg m Vdnm, <br />Dais, 6 Adrtresse° s I.Edes <br />TOTAL Passage 8 Fees S ~ <br />9 n <br /> , <br />PosDnark or Dale <br />