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e SENDER: <br />s . Complete ileme 7 and/or 2 tar addWOnal seMwe. <br />• .Complete Berne 3, 4e, and 4b. <br />q • Prhtt yOW nemB BM edtlr0ss w m0 rBVersB o1 m1910rm e0 tly~t we wn rBNm tltl9 <br />w+d to yyou. " <br />• Attach HIS loan to ma front or DM mWipdew, or on the deck it spew does not <br />perms. <br />• • Write 'Rehm Aea9/PI Requesred'on O,e mrdlPlece below me ertl <br />.The Retum Receipt Brill show to whom NB article wag delivered e <br />Delivered. <br />iS 3. Article A94ressed to: ,p <br />~ S~~nl'~~r~ and ]~ f ~in(GS <br />a (7jp4lq ~S 4 Ge55a <br />-720 IL>PI'~ Sc),~(1"I <br />{.OI.IC~vJoaGfl ~,o, ~C7Z IS <br />5. Received By: (Print Name) <br />6. Signa eo~ or 1J <br />c ~J <br />x. - <br />=a PS Fonn 3817, December 1994 <br />I also wish to receive the <br />following services (for an <br />Extra foe): <br />1. ^ Addressee's Address <br />2. ~ Restricted Delivery <br />Consult postmaster for tee. <br />4a. Aq~le umber r-~~ <br />l ~~~ ~~ <br />4b. SESe crvl s Type <br />^ Registered - ^ Certified <br />^ Express Mail ^ Insured <br />^ Re:um Recept !or Merchentlise ^ COD <br />7, Da a of Delivery i4 <br />-. ,~9w . <br />ani tee IS Paid) <br />,o2sesasemze Domestic Return <br />P 436 78 7 0 <br />N <br />~ , ~ <br />US Postal Service <br />Receipt for Certifie ~ <br />No Insurance Coverage Provid (~ <br />„ u,, rnrmm~tinnal Mail ! BIB i[91 <br />u <br />i <br />C: <br />C <br />d <br />C <br />i <br />i <br />__ ~ ~ ~} <br />rir~ <br />51 el flu F r, <br />Po Olfi . Slate 8 ZIP <br />Postage S , s3 ~ <br />CerGged Fee ! +IfL1-'~- <br /> C <br />Spedd Delivery Fee <br />Rastdcted Delivery Fee d <br />', RMUm Receipt Stwwing 16 / ~• <br />' Yfiom 6 Date Delivatetl <br />Realm Rxeipt Shorigb alms, <br />' <br />2[ R.9 <br />s Aeaess <br />Dale. B tvNressee 0 <br />i TDTALPOStagas Fees <br />t '7 9 <br />" <br />r Posenarka Dale W r1Q <br />i 72 `~9~ <br />GJ <br />Q <br />'~O J`' <br /> <br />~I <br />_~ <br />s <br />_~ <br />ii <br />>" <br />Y <br />C <br /><F <br />