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.SENDER: Complete itemf 1 and Z when edtlitlonel aervlces are dnlred, end complete Items 3 - . <br />entl 4. <br />Put your address in the "RETURN TO'" Space on the rsvane side. Failure to do th7a will prevent thla <br />card from belna retu rnetl to ¢ou. Tha resuLn recelP~C~I P~ovid~ou the name o} the oer_szon <br />poatmeatar Tor faea end check box(es) for eddltlonal aervlce(a) requeftetl. <br />1. ^ Show to whom delivered, tlate, end etltlressee'f address. 2. ^ Raftrlctetl Delivery <br />1(Exrra charged t /Exrra charge) f <br />3, Arti~~ress~ ~..~ /J ~ 4, irticle Number <br />Type of Service: <br />' u~r ~_~a ^ Registered ^ Insured <br />j Certified ^ COD <br />~~y 'J Express Mail <br />fl.~~T' ~ ~/7~~ Always obtain signature of addressee <br />~' or agents A EDELIVERED. <br />5. Signature-Addressee 8. Ad ss (ONLYrf <br />X re es and fte paid) <br />ignature!-Agent 11 J~ ~/~p - <br />X d7° a ^nn mot.. ~.\hn.. ~\ /n f. ''~~ <br />PS Form X11, Mar, 1987 + U.S.G.V.OC. t79'a~7-17e-]fiB DOME <br />P 987 285 120 <br />Receipt for <br />Certified Mail <br />~ No Insurance Coverage Provided <br />,~; Do not use for International Mail <br />ISee Reverse) <br />m <br />T <br />0 <br />t.., <br />ft7 <br />E <br />0 <br />N <br />a <br />Sa to <br />neat entl No ~ <br />P.O. a e ZIP COUB <br />iY3 <br />Posteg ~ •r~~ <br />Cemriea Fee // ~O <br />/ ' <br />Specal Delivery Fee <br />Heelricletl DeM1Varv Fee <br />aawm Pe Sn(w'fy~`~ <br />to Wnorf~e eli~je~~V. 1 G p <br />Peturn e i I Sn wq¢{o am <br />~ <br />Dale. <br />Atltl~es~,.f 3 rtlarasf ` ~ <br />TOTpL PosuBe J ~ <br />t j <br />% 1 /f <br />rj <br />a Feis <br />- / <br />a G Ci <br />~csl~lark or Daie`s• - <br />na-~ <br />ea.~ <br />7 <br /> <br />