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~ • SENDER: Complete itemr I, `, anJ s. <br />d <br />" <br />e A <br />d Twr address in the <br />RETURN 7D" rpac< on <br />7 merr. <br /> 1. The followin service is <br />F requested {check one) <br /> <br />~ . <br />-~ow to whom and date delivercd <br /> ..........__a <br />Show to whdm <br />date <br />and address of delivc <br /> , <br />, <br />ry..__4 <br />[~ RESTRICTED DELIVERY <br /> Show to whom and date delivered.........._q <br /> RESTRICTED DELIVERY. <br /> Show rD whom, date, and address of del ivory. f-_. <br /> (CONSULT POSTMASTER FOR FEES) <br />s 1. ARTICLE ADDRESSED TO: <br />i ~ ' <br /> <br />1 <br />I <br /> 3. ARTICLE DESCRIPTION: <br /> REGISTERED NO. CERTIFIED NO. <br />INSURED NO. <br /> ~ <br />1~~~~~~ <br /> tAlrRys ebbin al6rsature of addresseR or aaenU <br /> I have received the ankle described above. <br /> SIGNATURE [] gddnssr< ~ quthorisd agent <br /> ` <br /> DATE ELIV Y v VOSTM~RIi <br />.S;' <br /> ~ ~ <br />~ <br /> A L~ <br /> S. <br />DDRESS (Comphta only d Tae astsd) ' ~ <br />~ <br />' <br /> ~ <br />~ ~. <br />y~ <br />` <br />d/ /1.. <br /> ~ <br />, <br />' <br />r' <br /> ~i~~ <br />sl <br /> 6. UNABLE TO DELIVER BECAUSE: CL <br /> INI 5 <br /> A <br />1 <br />{r 4101 IS'r/-0R]~ <br /> <br />ti <br />P <br />~ SENbER: ComWese hems 1. ~. and 1. <br />" <br />Add your addsess N tfi<"'RETURN TO <br />space on <br />hverC. <br />I. The ! wing sers'Ire is requested {check nne). <br />how to whom and date delivered ... .. ,_d <br />Show m whom. lose, and address of Jelis'<ry.._Q <br />RESTRICTED DELI VERt' <br />Show to whom and date delivered ........ _d <br />RESTRICTED DELIVERY. <br />Show to whom, date, and address of del n'ery. S_ <br />(CONSULT POSTM,{STER FOR FEES) <br />~pTICLE A <br />E <br />S <br />S <br />D <br />TO. <br />I. <br />O <br />E <br />%• <br />D/ <br />fR <br />y <br />/ <br />' <br />y <br />! <br />~ <br />~ <br />~ <br />~ <br />~ <br />~ ~1 <br />1056 .IuauLZ. -du~~=OD <br />~np~an~n ~o1.Aa.~(, j'(79D 3 <br />J. ARTICLE DESCRIPTIOrC <br />REGISTERED NO. CERTIFIED NO. rNSUREO NO. <br />~~37~3 / <br />IAIwaYS obvsn egnatun of eddnar or agene) <br />f have received the article described above. <br />BIGNAt DRE ~ AJdrroet ~ \ulhonzed scent <br /> <br /> <br />I. <br />DATE OF DELIVERY <br />,C~ SIMATnt\l~ <br /> <br />5. ADDRESS (Complete only d r caste ' ; \ ~ ^CJ ~. <br /> •~ ~~. <br /> .' ~_ <br />6. UNABLE TO DELIVER BECAUSE: ~ ~ OL <br /> ALS <br />A <br />m <br />.4 <br />C <br />Z <br />A <br />n <br />n <br />• <br />No. 945046 {~'-~-' <br />,; <br />RECEIPT FOR CERTIFIED MAIL ~:; <br />NO INSU ANCE COVERAGE PROVIDED- 1 )) ` ~ <br />NDT FOR INTERNATIONAL MAIL k t <br />(See Reverse) ?~~~~t~T <br />aOSraGE O~L <br />Ii.Ep pfl ED cE _ <br />u SPECIAL DEInERY <br />~ RESTRICTED DEUVE9r <br />~I <br />W I ~ Y $NDN i0 WNOM Mp CAIE <br />Dr J'•FPF' <br />~ _ <br />N i2 ~ - <br />W <br />'j. ~ N ~ $K.M 1' WADY riSE fYD <br />~'F55 Oi ;d'.FRs <br />Hi ~'iI <br />d W.. <br />~ ~ ~rf L":P'p naN aES'i~ FD <br />Z . oc ~-- - <br />p 4 'g+nx W'hwCV ::'E sh] <br />~ x cfSli•clEp •=~' .~_ <br />= TOTAL POSTAGE D FEES ~~' $ <br />= POSTYNRK DR D Tt:_ ~~' ' <br />(:a~y~s <br />c <br />s <br />~~ 5 4 <br />~~~ <br />C <br />Q I <br />s l <br />6 <br />C <br />1RED tt0. <br />t ; ~~., <br />ed agent <br />e <br />'STMARR <br /> <br />°' 945043 , <br />Y~' <br />R CEIPT FOR CERTIFIED MAIL. p <br />_ <br />N INSURANCE CDVERAGE PROVIDED- se), <br />NDT FOR INTERNATIONAL MAIL __( <br />~ <br />(See Rev rte) ivory <br />.1 <br />ro <br />EEr+ <br />c <br />- - _ - _ <br />ti arvD r+0 .... .-. <br /> very•.f~- <br />~PO. SrP*E aND?ro CGDE <br /> :ES) <br /> GERTIFlED FEE <br /> ~ <br />sW.+ SPECIAL DELIVEgr <br /> ~ RESTRICTED DELIVERv <br /> W <br />W $1nTN IG hxGM AND U+1! <br /> W ~ ~ p[tIYE°f7 <br /> N ~I - <br /> IW <br /> `j. i N 1 H 5'frN ii NyrlY D41[ AlD <br /> +~jiCSS GF Ba~.ERY <br />~ <br /> O I S ~ <br /> ~ u RFOW IJ WypY A4J pAR <br />I <br /> i s IpfE'I(iED xI;H RES'alLiCp <br /> N o lio^ft .:i/ <br /> Z.I <br />p I~~- <br />r $I~CM I^. NwpY CefE %vp <br /> ~ W ; a:pRfss rl pfua:, •vl.'N <br /> I I ~ ''>f aiPED Glu,'.u/ <br /> TOTAL POSTAGE AMD FEES <br />.. POSTYAPK OR DATE ~ '. <br />~ <br /> <br />2 <br />' <br />. <br />~)~ <br />_] <br /> •J <br /> Y <br /> ~' <br />i _ v. <br />. <br />i ~ <br /> Y-- <br />C <br />iURED NO. <br />c) - <br />ml <br />1 r. <br />•JI ued agent <br />~ . <br />A RR <br />~ ~~ ~QrO^W <br />era <br />