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~ SENDER: <br />^CIMpMe item. t eridor 2 for eddltlanel .ervta.. <br />1 also wish to receive the <br /> •cmnwre iwna a, a, ua+b. IoNOwirg services por an <br /> .Print your name end sddroae m the reverse of this krm so Ihel we can slum tlis exfm 160): <br />~ eNtsch N~hxm to the honl of the maApiea, or on the WrJr it span doa nol 1. ^ Addr050ee'9 Addr05s t' <br />t: <br />~ <br />. pemwt. <br />^Wnte'Aerum Aawipt Requeered'an the rruYPiece bebw the snide number 2.~RBStriCted Delivery ui <br />$ <br />C ^Tlq RMUm Hsut;pl wit show to whom 1M ari:ie was delivered eM tM dale <br />deliWled. <br />Consult postmaster lOr foe. ~` <br />O r <br /> 3. ANcle Addressed to: <br />~r ~t Y~~~~n. ~~~ 4a. Article Number <br />z ~ ~~a 9 ?i <br />e: <br />'. <br />u ~ <br />~ <br />~ <br />~] <br />/ <br />) <br />~ <br />- ~ f , / <br />~ Service Type <br />4b <br /> ~ <br />% <br />' <br />'` <br />~ <br />' <br />" <br />~ <br />"` <br />1C YII~ ~y L L~ . <br />O Registered ~Certifled o <br />cc <br /> S IT <br /> (/,Ijl/J.IVI O Express Mail ^ Insured :' <br /> ~ <br />~,/a <br />~~j <br />` OReNmRaceiptfaMsrchsndlse 0 CCD ~' <br /> P~~r~Cn <br />" <br />/ <br />~ Date of Delive <br />7 ~~ <br /> (/ <br />~C ! . <br />ry <br />' ~S° <br />I <br /> P'ly T <br /> 6. R slued By: (Pdnf Name) 8. Addressee's Address (Only i! requltsted •~ <br /> r~ G al. e .~ S and lee is paid) ~ <br />l <br /> 6. Signature: (Add ssee orAgen!) - <br />o <br />T X -. <br /> PS Form 3611, Decomber 1994 01118StiC etUfR eCelpt <br />.~ .~ - a <br />C. <br />O1 <br />L <br />QI <br />M <br />0 <br />LL <br />4 <br />Z 416 942.~~69~~2~~.,,""~~ <br />Rece~pel®r~1e[.~ <br />Certi44~~~~~~7'ld ~IU~p ~, <br />~ No InsuFaflLPe rff~` GG <br />~~,°$R~r Do not use for International <br />. r 15^e.Aevers6l n ! ~. „ ~ CO <br />$e~ t~ l~--('Hf'e(~i <br />5 I p <br />P ~ ~e a~0 IP C <br />r/lY./I ~~~ ~~ <br />Povage <br /> <br />Ce~in~eo r„e <br />$peuai Ce~•ve~y Fee <br />.,~ <br />Resn¢~eE Delwei a ~~ <br />~ t <br /> C <br />Ream Recpipi rep ng ~ / ClS <br />p 'Nhpm g 0 u D war O <br />Relum PpCeipl $nO in 11p <br />Dais. ano a00~es `a A <br />tOiAL POSla9e <br />g tees <br />Postmark o~ Dale <br /> r <br />