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JCnUC~{: 1 also wish to receive tM <br />^CeepNN NefnefarMbr2bretldYOnel elrvloee. IoMowln K <br />• CompleN Nefm 9, A, eM M. 17 hlcaa per en <br />• Grirnatb yWNrM aM atlMSas on IM revaM of Yes kxm so IMt we on rNUm MJ~ 6%Ira feed: <br />• Agqtlammcgwn IIYe lortn b Ne has of tM makpioc~, p on tM DeCk X sp~c~ ao~t nd 1- ^ AddresSBe'8 Addrg53 <br />^ WfNe'Retum Reoepf Hegw~rea•on Ne nNlpwce bebw the eNde nutMer. 2. ^ Restricted Delivery <br />^TMM~rn Rsawpt wit sfpw to whom Vie erode wee aeXvarad end Ute date (',Onsuh postmaster for fee. 1j <br />3. A Addr t ~ ~ 48. Article Number <br />V _ -,.~ J µL 4b. Service Type ~~~ ~~~ <br />,~ ` ^ Registered ~'CerlifiM <br />~~ ~ ^ 6cpress Mail ^a' Insured <br />~ ^ Retum Recegt far Merahandse ^ COD <br />// O06 ~~ 7. Date of D livery / ~q <br />~- 0 L -' ~ ~ C 1-/ 3. <br />5. Receiy~ By: ( f t Name) 8. A ressee's Address (Only it requested <br />/ „ i and /ee is paid) <br />~, X / ~`~ <br />PS Form $811, December 1994 <br />fozsesae-eoue <br />~ Z 4 3 4 9 41 gSgq~• <br />US Postal Service r~~~e~ ~ -/3p <br />Receipt for Ce 1 le <br />1 No Insurance Coverage Provided. <br />C.) Do not us for Intemati ~na ail S r ve <br />rD <br />-~ <br />w <br />N <br />1 <br />0 <br />7 m <br />~ ~ <br /><D <br />n Q <br />C <br />~ m <br />O ~ <br />N € <br />O <br />w <br />a <br />Sent to ~ <br />St <br />Po m, State, C <br />J <br />Postage 8 <br />Certified Fee ~ D <br />Spedal Delivery Fee <br />Resladed D V~ <br />Retum Rec owing <br />WhomeD iveied! <br />1 <br />Rerom Rec ~ ro ~" <br />Uate, 8 MEr eeS y>; ~ <br />TOTAL Pasta Fe~P $ `1 <br />PoSbnark or Date <br /> <br />