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~ID~R: - - ~ ~ ~ ~ <br />~ ~ ~ ~ - - - - <br /> ' <br />a Venn t sndor 2 for ad0111gvY servkaa. <br />pate items s, aa, and ab. I also wish to receive the <br /> <br />following services (for an <br /> <br />' <br /> _ <br />your name and address on Ora revane of IMS lone Yo that we can return thin extra fee <br />~ <br /> ~dlo you. <br />Meath this form to rtre hoof W the mailpiem, or on the back it space does not <br />il 1, ^ Addressee's Address ~ <br /> pNm <br />. <br />aWrite'Ra'um Reroipl Requested"on the maipiece bNOw the article nurrder. <br />Q. [] RBSiriCled DeIlVery C <br />y <br /> ~1t+e Relum Receip wiY show to whom the anida was rbavered and the dais <br />~ delivered. ~ Consult postmaster for fee. .~ <br />0 <br />p <br />2 <br />rticle Addressed r~o: <br />~ <br />r6Je~itn_ber <br />G <br />w <br />2 ~, <br />^ ` `,~, <br />~`Y~-" N.Y~V~ ~ <br />J VJ <br /> v ` 4b. Service Type <br /> h l ^ Registered ^ Certifietl <br /> !! <br />~~y.~ _ _1 <br />^ Express Mail ^ Insured m <br />5 <br /> ],JI,JLY.R~ <br />'0 <br />^ RetumReceiptforMerchandise ^ COD <br />~ <br /> ~O 8O ~ 7. Date of Delivery <br /> _~ -~7 aC <br /> (Ann! Name) 8. Addressee's Address (Only it requested ~ <br />( <br /> and lee rs pard) } <br />X <br />:*' <br />f <br />a <br />t <br />V <br />G <br />P 526 418 788 <br />US service H-`Sr~~ <br />f~t for Certified Mail = <br />N surence Coverage Provitletl. <br />I TY <br />Do not use forlntematwnalMaY seereve <br />S~plt b "~ <br />LEROY HERNDON 1LIT AR <br />Slme18 Number <br />251 16TH E <br />Post gfice, Slate, 6 ZIP Code <br />BHRLINGT N <br />Poslaga a - <br />Canified Fee <br />Spedel Delivery Fee . . <br />ResUfged Delivery Fee " <br />r <br />~ Return Raceip Shmv"rg to <br />When 4 DetaOllraretl <br />~, peexnR FYgesgmwhsin, <br />• Dale,6 MYeeaY's Mhess <br />i TOTAL Postage d Fees <br />I f tom; <br />l Posenar4 or Dale <br />t Rs <br />~ CJ <br />W <br />