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<br />o SENDER: <br />'~ •CBmpI6I911em6 1 andror 2 tef dddl(ional BarNC69. <br />N •Complete items 3, 4a, and 46. <br />~ •Pdm your name and address a+th~ reverse of This brm so Thal we can return foie <br />- card to ycu. <br />~ •Aaach Ihis form to the horn of me mailpieca, ar on the back if space tloes not <br />m permit. <br />m • Wnte'Aa(um Aersipl Aequesred'on the maap~ece below the article number. <br />t, •The Return Receipt rill show to whom the article was delivered and the date <br />t delivered. - <br />O <br />v 3. Article Addressed to: .Article N <br />~~ <br />E ab eivm)a: <br />°u ~.5.~-~L- Z~~n Reglsten <br />iN 0 lvl <br />U <br />I a150 WISt110 reCBIVe the <br />following services (for an <br />extra tee): <br /> <br />1. ^ Addressee's Address d <br />2. ^ Restricted Delivery w <br />Consult postmaster for tee. $ <br />Y <br />y('~~pxAQn Express Mail, <br />1. vv "1 f.JV Return Re~Pt for M <br />~ ~,y (\ t~ t ~ vr~ ~ ~j ~~ ~~ 7. ate of Delivery <br />5. Rec i By: (Print 6. Addr e's'A qtE <br />r" and lee is pa/dJ <br />5 6. Si re: (Addre or ge t <br />0 <br />T <br />A <br />PS F nn 38 ; December is a Dome <br />~6 431 314 <br />r _ r~ <br />C <br />a <br />rn <br />pQ <br />O <br />l1 <br />a <br />5 <br />for Certified Mail ~ ~ <br />o I rance Coverege Provided. {j, <br />not use for International Mail See reverse ~ <br />to W <br />8 Dar W <br /> <br /> <br />st Odice, Slate, IP Cod ~p <br />~~ <br /> <br />Postage a ~ <br />Cameo Fae ~ <br /> <br /> <br />Speoal Delivery Fee <br /> <br />Restricted OeNvery Fea ~ - ~ ~~ V <br />Return Receipt ShowingJO C <br />Whom d Dete Delivers/ ~ fD <br />Return Raeipt Skmisq m WMe, <br />Dab, 6 fdNessees <br />TOTAL Pasbge d Feast '$ '~~ <br />Posmark or Date <br /> <br /> C <br />_ <br />r C <br /> <br /> 4' <br /> <br /> <br />~ <br />~ U <br />K <br />- <br />- <br /> <br />~ <br />^ Insured <br />, ~ <br />I <br />handi$e ^ COD .' <br />~ <br />r o <br /> <br />i ;" <br />i (Only it requested ~ <br />f <br />-r <br />o P 436 784 »62 ~ <br />LUIS Postal Service <br />~ieceipt for Certified Mai <br />r.{Jo Insurance Coverage Provided. <br />o not use ror Imemauonal M <br />au see re <br /> V <br />l ~ <br /> r <br /> P Olfice, tale, 8 ZIP <br /> Postage ,~ . <br />_ Certified Fee <br />t Spedal Delivery F e r~$ <br /> <br />M Re6lrlclad oar as ~'/l <br />~~ <br />.= Return Recei ~ng m <br />Whom 8 Data - ' 0 <br />4 . <br /> ReAmtRaspt WhpA, <br />Dah,B)dSessee'a [~ <br /> TOTAL Postage 6 Fees .? <br /> Postmark or Date <br /> <br />