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!~-g7-act <br />N <br />m <br />C <br />O <br />W <br />li <br />a <br />Z 130 0~6~ ~~L <br />US Postal Service II <br />Receipt for Certified Mafl rv_; <br />No Insurance Coverage Provided. - ° <br />Do t use for Intemafional Mail See reverse <br />nt <br /> <br />o S e ZIPC ytb <br />-i <br />Postage ,fj <br />Certified Fea <br />S~edel Delivery Fea <br />Restdded Delivery Fee <br />Return Recapl Stunving <br />YAtom d Dete DeEvared F <br />tl <br />Realm RaceQl Sho.*q m <br />Dak, 6 MAessee's <br />TOTAL Postage 8 Fae <br />Posenark or Date <br />USPS// <br />.e i <br />i.~ <br />:.7 <br />.., <br />-_~ <br />~o <br />nt <br />.?7 <br />:J <br />-' <br />'l <br />9 <br />i <br />.' <br />.~ <br />~a_ <br />" SENDER: <br />v •Complete items 1 ender 2 for edditbrW services. ~ I a150 wish to receive the <br />w .Complete items s, ~a, end ~b. following services (for an <br />N • Print your name entl address an the ravens of this brrmto mat we cen rNum Thin BXtfa TBB <br />~ <br /> Urd to you. ai <br />~ <br />j <br />m •Mach min loon to the hoot or the mailpiece, or on ttre batlc it space dose rrot 1. ^ AddfBeeBB'e Address Z <br />y permit. <br />•Wdte'gerum Receipt gequesred'an me mailpiece below the artide number. p. ^ RBStdeted DBlivery y <br />L •The Return Receipt will show to whom the artide wan deliveretl end the date <br />, <br />~ tleiivered. Consult postmaster for lee. <br />. <br />° <br /> 8 <br />a 3. Article Address ed to: 4a. Article Nllmbe[ . .. _.. _d <br />b ~'~- <br />a~.Go 4107.,110 <br />9 <br />0 <br />T <br />n <br />W 000 c <br />4b. Service Type <br />d <br />^ Registered Certified ~ <br />^ 6cpress Mail Insured <br /> <br />^ Return Recerpt for Merchandise ~ COD x <br />7. Date of Delivery f <br /> T <br /> <br />R. Addressee's Address (Only i! requested ~ <br />and !ee is paid) t <br /> H <br />ar <br />PS Form 3877, December 1994 <br />