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SENDER: I vso wish to receive me <br />• V`^~ Meta Ilarrb 3, Y, arq 4b. WdlbrW N(VIDSe. tOllowing servlcea (t01 W <br />• PnM your rieme end eddreae an the rwerae d tlrl. Aonn w Gnat we un roNm We e%Irfl tee): <br />Gerd b you <br />. Allecn this form w tM moot d ne mellpleoe. or ao m. wck n.pec. dow na E ~ <br />1, ^ Address6e's Addrr- <br />pem,w <br />. Write 'RBNm Reae/pr Raquae(ed' on Me meilpleoe Dalow the artlde number. <br />2. ^ ResUicted D011V01,`~ <br />• dThe~~m Receipt will Gnaw to venom me article wee dellwrad and dq tleta L'.gnelllt pOStITBStef 1gr lee. 11 <br />VuG (Zn.C <br />Kt <br />a~ <br />. <br />a 7 a o tc <br />, <br />. <br />. <br />r <br />.. <br />~~"~ ~/~~ ,[( o ~ <br />~x.a-~,pr. m e'fu-r-~'- /~~P~'t / t~ • <br />j5nrcjp (Jp~ ~a~s ~ , <br />3 ~ <br />O <br />c <br />l 4b. Service Type <br />^ flegistetad ®Certified <br />^ Express Meil ^ Insured <br />^ Retum Receipt to Alerchandise ^ COD E <br /> <br />~ <br />/ p <br />O <br />f - <br />o <br />4'l~tti1F~~ , w $ 7. Date of DeGvety <br /> a <br />Received By: (Print Namo) 8. Addressee's Address (Onty it reguosted <br />end lee is pe/dJ Y <br />Sign~teSe: (addressee o~Agenq _ - , <br />3811, December 1984 <br />m <br />a <br />Q <br />C <br />O <br />W <br />LL <br />(n <br />a <br /> <br />tazsesge-e.ozza <br />4`7 <br />P-436 79Q ~6 <br />US Postal Service "?~ ~i c'/ <br />Receipt for Certi~irytf it v <br />No Insurance Coverage Providefl2 n <br />Do not use for IntemaUonal Mail ev ~- <br />N <br />M[a ,~ y <br />Slraet 8 Numher <br />~d <br />Po~.,OFBro, Stale, d ZIP Cade ~ <br />(ljQ, o N <br /> <br />Postage $ ~~ E <br />Codified Fae L} t7 <br /> C <br />Speaal Delivery Fea ~ <br />1= <br />Restdge0 Delivery Fee ~ <br />` <br />Relum Recept Sh - -~ <br />Z`y <br />Whom 8 Dat <br />• (`7 <br />RetumR ~ . ~, ~ C~7 <br />Dale, 6 Ade ess r <br /> <br />TOt IQ <br />s <br />S <br /><• r <br /> <br />Poe adc rDate <br /> <br />n <br />O <br /> ,nn~ <br />V 3'J t. <br /> fi <br /> ~~a <br /> <br />