INSPEC16133

• Permit No: M1996079
• IBM Index Class Name: Inspection
• Doc Date: 10/7/1996
• Doc Name: CERT MAIL CARD
• Media Type: D
• Archive: No

d SEN ER:
$ •Co/nptete items 1 andor 2 for etltlNOrul services.
m • Complete items 3, 4a. and bb.
.Print your name entl address on the reverse of this brtn ao that we can return this
raM to you.
m •Aaech this brtn ro the hom o}the mailprece, w on the Dark it space does not
~ permit.
y • Wdte'gerum Receipt Requested' on the mailpiece below the anicle number.
$ sThe Refum Receipt wdl show to wtgm the enitle wag tleliveretl end the tlate
~ deliveee.
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aCP1UC1'1:
s Complete items 1 and/or Z for etldiaonal services.
I a150 Wlsh 10 reCB1Ye tY
•Camplale llama 3, 4a, and bb. fOIIOWing SefVICBS (for 1
sPdm your name and address on the reverse of Ihia farm ao that we ran return Ihia aXlfa 1ee):
card to you.
.Attach this brm to the hom of the meilpiece, or an the bark it apace dose not 1. ^ Addressee's At
permit.
• Wdte'Refum Receipt Requested' on the meilpiace below Ne snide number p. ^ Restdded DBIiT
sTha Refum Receipt vile show to whom the ertide wee deliveed arW the date
delivered. Consult postmaster for I
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ark or Dale '
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I also wish to receive the ~~4 L 6 9 4 (2~ 4 7 6
iotlowing services (for an ~eC'ep'Q`ToLSt ~ W
eMre fee): f~rFF+e^a~j'
1. ^ Addressee's Address `-~ Cer~i~!(7d' MCa~ ordA
Z No In an d C D
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2. ^ Restricted Delivery y ;• ~, Do not use for International Mail
ISee Reverse) r
Consult postmaster to tee. a r
4a. Articl"e~1FNu1m1^ber(~ UU (~~j "~ ~
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4b. ServiDe Type y laic a~ ziP Coee
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^ Registered ^ Certified ~'
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^ Express Mail ^ Insured c $ nt
^ Refum Receipt for Merchandise ^ COD ' ree ~
7, Date of Delivery f
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6. Addressee's Address (Onlyi/requested ~ d oeiwerv ree ~'
and lee is paid) c Z-,
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Agenff ~ 8 Dare Deirvne ~ .
ISO :ce~oi Sn¢wm i9 ~
' AatlresseNs A s
tees Domestic Return Receipt ,s,age /~, `
to:
5.
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Recei~ pt fop
Cer$itt~At M~~~
No Insurance Coverage Provide ~~••11
Do not use for International Ma6,1~
ISee Reversal '~
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L '-\\\~ `1'-E:rl '-~ 1 Y
4b. Service Type
^ Registered ~ Ce
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^ Express Mail r~
^ In: z
^ Refum Receipt for MerrYtandise ^ CC o
7. Date of Delivery

! a.'7.46
B. Addressee's Address (Only i! reques LL
and lee is paid)
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r
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r 1994
Srare antl ZiP Coe J
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R¢Nrn M¢C¢~V~ ~~"I•••••7
ro Whom & Date Deineiee
newm PeceiO~ SJrcm9 io Wnom.
Dale, and Atla see' 0 ss
TOTAL Posh 'y S
& Feas ~ V~ •~
Postma~ Dare ~ rr
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