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<br /> <br />•Complete Hems t ardor 2 br eddidonal sericea. ~ I a150 Wish t0 IBCBiVB file <br />•COmplele items 3, 4a, antl 4b. fOIIOWIng seNiCea (fOr 8n <br />•Pdm y0ar namB and eddreeS On the rBVareB of Ihla lOrR190 th81 WB Gan mtYm lhl9 BXlra fBB <br />~ <br />card to you. ei <br />•Atlech Ihis forth to the hoot of the mailpiece, or on the back if spars does not 1 <br />^ gddrBS$eB'S Address <br />permit. . Z <br />• Wnte'Refum Receipt Requested'on the mailpiace below the snide number 2. ~ RBStdcted DeliVBry y <br />•The Retum Receipt will show Ic whom the artide was dehvered end the date <br />aeiivered. Consult posbnaster for fee. n <br />a,,C p 7'r ff a o vE,Q <br />~,8 ,EXLr+4vgTiv6, iNe.. <br />~,e~t~cv~~ a ~9 <br />vf-i,c..,CO 8/6s8 <br />or <br />PS Forrn 3811, December 1994 <br />Y <br />O <br />_o <br />a <br />.~ <br />.i <br />V <br />u <br />d <br /> <br />4a. Article Number d <br />m <br />z /9% S 98 S>~ <br />4b. Service Type ~ <br />^ Registered Certified ~ <br />^ t=xpress Mail ^ Insured <br />c <br />~ <br />' <br /> <br />^ Re~tum Re~c i <br />r Merchandise p COD m <br />7. Date of Deb ~ <br /> 0 <br /> <br />8. Addressee's Address (Only it requested ~ <br />and !ee is paid) r <br /> F <br />_, SpeC./~.SO,~~N3o/y <br />Z 191 5 9 8 5'7't--^-~. <br />-L' us Posw setvioe ale # M - S G /o ~ <br />:` Receipt for Certified a1~il-'~ <br />_ . No Insurance Coverage Provided. <br />~, Do not use for Intemetional Mail See Ieverse <br /> <br />s~,tta SCo77' ovEa <br /> N <br />Street 8 Number <br />osl ra Sine 6ZIP Coda o <br />~• <br />O <br /> <br />PaslaOa LJ <br />,~ .. <br />J <br />Cer6fietl Fee <br />` i~~, <br />i Spedel Delivery , ~ ~'rCf.~ <br />Res4ided F~0 ~ 1 <br />r <br />i ReNm Flacei Showing to ~ <br />1Ntan d Det 6 r <br />h ~ R <br />~ <br />~ <br />TOTAL Postage 6 S <br />~ Prutmerk or Date <br />I <br />t <br />I <br />