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199 ~ - 05~~ <br />P 436 783 519-7! <br />- 'N <br />US Postal Serrne - ' ~ ~ <br />N <br />Receipt for Certified Mai ~ <br />No Insurance Coverage Provided. d \ cp <br />D t f l t t' al M 'I S <br /> Q <br /> U <br /> <br /> <br /> C <br />0 <br /> N <br /> •-- <br />N <br /> E <br />N <br />°' E <br /> Q1 <br /> N <br /> <br />O <br />~ M <br /> M <br /> r <br />li <br />a ~+ <br /> 0 <br />ono use or n ema Ion al ev <br /> <br />Sent to ~j'coTt <br />A Z 1 }~ ('~ <br />et d Number <br />S <br />P Oeice Slate, P ~1 T p~ <br />Postage $ ~ ~ O <br />Cenified Fee ~N F.R ~-( <br />Spedal Delius Fe ~ C <br />Restdded De 9ry a <br />Retum Receipt <br />Whom 8 Date D ~ o ~ <br />1e ~~ <br />Realm Re:ep Shwwg <br />DaR, 6 Adtressee's PdAess <br />TOTAL Pos:aga 8 Fees $ , <br />Postrnark or Date <br />$ SENDER: I also wish to receive the <br />o sCompl•a Barre 1 ardor 2 for eddiaonrJ serWCes. ~ -~ <br />e aCdnDlale items 3. Ie, entl ab. = +-~ fOllOWing SefVICBe (for en <br />~ • Print your name end address an the rawree of thi9 loan so Net we Den-relurrr this extra f6e): <br />cartl to you. 8 <br />~ •Atlach this form to ere fmm d tM rwlperg, or on tr• beck it space tloea nd t, ^ Addressee's Address <br />o pemnlt. <br />~ aWdte'Retum Remipf Requested'on tha mailpiece below the amide number 2. ^ Restricted Delivery <br />aThe Relum Receipt will show to whom die Mida war tleliveretl end Ina tlala <br />c aelweretl. Consult postmaster ror tea. f! <br />e 3. Article Addressed to: 4a. Artlcle Number ~ ~ / <br />-• ~ ~ g E <br />n ~ ~ T~ ~[ 4b. Service Type 8 <br />0 <br />v ~~_~~ ~ ~ 1~ ^ Registered ~Certlfled o <br />^ F~cpress Mall ~ Insured ~~ <br />. o. ~ _C/ ~1 ~ - ~~ <br />..L7 ~ ^ Retum Receipt for MerGlenNSe ^ COD <br />,. (1 , - n ~ ~ (~` ~ / / ' 7. Date of Delivery <br />>, <br />5. Received By: (Print Name) 8. Addressee's Address (Onty I/ requested ~ <br />and lee Is paid) <br />6. Signatur (Addresse Agent) <br />i. ~( <br />• <br />PS Form 3811. December 1994 X02595-W-B-0V9 <br />