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P 213 351 671. <br />_ _ '~~ • v <br />cat or Certified Mail ~ <br />rance Coverage Provided. <br />u <br />v <br />.N <br />d <br />c <br />O <br />.Complete items 1 anNOr 2 i'or etltlitiorW eervicas. <br />.Complete flame 3, 4a, and •lb. <br />.Print your name end adtlrer9 on the reverie of this lone w that we can rdum This <br />I also wish to receive the ~ not use for International Mail See reverse ~ <br />following services (tor an <br />extra fee)' <br />certl to you. u <br />~ a~ This form to the from of the mailpiece, or on Ina bark it space does nol <br />• 7 <br />Q AddrBSSee's Address ' <br />P , ~ <br />r~Wdte'Retum Reoeipf Requrwted'on the mailpiece below Ina enicle number. Q, ^ Restdcted DBllvary y <br />•T1re Return Recaipl will snow to wlwm the snide was deliveretl and Ina date <br /> <br />tlelivered. <br />Consult postmaster for fee a <br />~~~ ag ~~3 <br />~e1~,~ N~ ~3C 3~3 <br />T <br />X <br />fssa <br /> u <br />a, <br />r^'~ G, /- <br />lu~r~ <br />l <br />~ I <br />oC <br />J <br />ILJ c <br />4b. Service Type ~ <br />Y <br />^ Registered ,~ Certified <br /> <br />^ Express Mail ^ Insured a <br />5 <br /> <br />^ Relum Receipt for Merchandise ^ COD n <br />~ <br />•~ <br />7. Date of D ivy ° '~-' <br />1)~ ~ <br />T _ <br />~ <br />2 <br />8. Addressee's Atldress (Only i1 requested c <br />and /ee is paid) t ~ <br /> F O <br />7 <br /> <br /> O <br />L <br />Domestic Return Receipt l <br />1 <br />t ddNu r (+2 <br />_1J <br />Ofh ,Star ,BLPC ~O2 <br />...7 <br />Postage a <br />Certifiatl Fee ~ ', "3. +~~, <br /> <br />Spedal Delivery Fee .'. t• .r ~ <br />~ `~ ~c <br /> <br />Rasrdded Delvey ~'OA <br />Rdum Receipt Sho 'ngt i ;J/ ~ <br />Vrtam 8 D <br />a <br />D <br />al <br />iv <br />d <br />ta <br />b <br />~ <br />~ <br />.. <br />r <br />~l <br />Rsemii~lzepl Shawrg <br />' ~ <br />~ <br /> <br />s Mhess_ <br />DaR,BMtlressee <br />4.. 1 <br /> <br />TOTAL Postage 8 Fees ~ r. <br />,yly,_ <br />(~. <br /> <br /> <br />Posbnerk ar Date <br /> Ot <br />C <br /> <br />_ ~ n <br />~ <br /> c <br />I <br />1 <br />r <br />