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~ ND R: <br />•COnglae itee• f anNOr 2 ror ad6dorW enviuw. I also wish to receive the <br />• al;pnq•e Item 3, !e, end 46. •.., ._ foNowing SBrviCBS (fOf en <br />•PdM your name and addreaa w s• revaree M thlkNrrm w 1tW we Oen stun tNe extra f6e): <br />card W you. ~ } <br />•ASaoh thu form to the Irord of the rrwlpaw, ar'dpy beds H pew dow na t , ^ AddfeSaBB'e Address •Y <br />` • WP At~Refum Regvq Regweled' m iM mu't ec ow fha Nlde nnroec 2. ^ RBStdcted Delivery <br />.~ •TM Retum Receiq w10 show to wirorn s• artltle was deNvared end the data ~ <br />daMared. Consult postrnaster for fee. <br />3. Article Addressed to: 4a. a umber <br />1M ~s.~.~ 4b. Service Type ~ <br />1 1~`~O h /~ C g 1..~ ^ Registered ~ertiBed <br />W t~O~ p <br />v~ ^ Egress Meil ^ Insuretl <br />L (~ ~ ^ Retum Receipt for MerdtendSe ^ COD ~ <br />M ~5. ~ ~ g"Oj~ q 7. Det~ Dellv~_Q ~ ~ <br />V' 1 1 ~ <br />i. <br />eceived ntName) S.Addressee'SAddreea(Only!lrequested <br />C~E,UN so (~+~lap~id) <br />a3 6. Slgnet~AGdressBB 01 A9B6 <br />a X <br />pS Fomn 3811, Decertiber 1984 <br />m <br />a <br />8 <br />0 <br />LL <br />o. <br /> <br />10259Se]~e-01]9 <br />P 4 3 6 715'~Pe~7 C~ <br />US Postal Service ~ ~ ~ ~ I b lp ~0 <br />Receipt for Ce t <br />No Insurance Coverage Provided. <br />Do not use for International Mail SeB reverse Q <br />Sam IO N OK <br />` WIC 7 <br />^ <br />~ <br />.S V (G ~ ~^ <br />Strael d Number L <br />eZolO OYM1 ~ <br />Pas(pn~sj Slat4,'.ca / O 3 <br /> 805-( _' <br /> C: <br />Postage $ 3 =~ <br /> <br /> fD <br />Cer6fed Fea <br />Spedel Delivery Fee wj <br />ResOiged Delivery F <br /> <br />Return Races ~ ' Q ' <br />Whom 8 Da red - ~ f V <br />Realm Rx ~ m .:~ O ~ <br />Dm.arda o, . v <br />TOTAL PO `rasa; S ! h <br />Posbnerk or A ` 6 <br />S' Q <br />~' <br /> ~~ <br /> v <br /> <br />e • - e - e• • <br />••- J <br />