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~ SENDER: I also wish to recetvs the <br />. complete same + end/« 2 ror eddidarul eemcea. <br />n , ~,,,~, Hama s, ~,, ,~ ~. following services (for an <br />g • ~ yoyuoruname aM edoreas on tlfe reverse of Nla lorrn w Wt we un reNm Iftb 0%Ira f0B): <br />iLZ a pnanadr th. iorm to the front a me menplew, « m lne wck n epam aoee riot 1. ^ Addressee's Address E <br />C •wdle'R.tum RacWpIMWSStsG'«i +he mellplece.below Ne eNCb number. 2.^ RBSVICIBd DBIIVBfy <br />• ~ ~eewdm Recelpl w{Y show b whom tM erdGe was delivered end the dale Consult postmaster for lea. ~ <br />if 3. Article Addressed to: 4~nc~l Num / <br />~ ~~~~, ~ta~d <br />4b. Service Type <br />1 j~~ ~~~~ ~ ^ Registered ^ Certlfled <br />4~//~'~/~ ,I / ^ Express Mall ^ Insured g <br />t~W ~ ,V ( ~`~~~ {') ^ Rehm Renipt la MercheMlse ^ COD <br />~~.p ~J 7. Date of Del ery ~ <br />5. Received By: (Print ame) 8. Addressee's Address (Only i requested ~ <br />end !ee is paid) <br />ignat e:~ aAy <br />o X <br />a+ <br />~ Ps Form 3811, December t984 +~ Domestic Return Receipt <br /> <br />a <br />P. <br />Q <br />a <br />O <br />O <br />f~9 <br />li <br />a <br />-Z 434 9q'+~g46~CS <br />US Posfal Service Fj~e n• <br />Receipt for Certi~i <br />No Insurance Coverage Provided. <br />n.. ., r,. <br />Sanl <br /> a <br />etB NUm e <br />C <br /> C' <br />~ce, Sta , b P C <br />r e d <br />r <br />Passage a ~ 3~j ~ V <br />Certified Fee t , ~ <br />Spatial Delivery Fee <br /> <br />Restricted Delivery Fee U <br />RetumA ~P. <br />who DeIIVCrelr~ ~ I • 2S <br />~ ~ <br />Re 'ng to Whoa. <br />Da ress <br />TD stage 8 I'~ • ;~ z , q g <br />Pos `~: . ' <br />s <br />_, <br />i <br />