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•SENDE R: Complete items 1 and ~ when eddlilonel services ere desired, end complete Items 3 <br />end 4. <br />Put your address in the "RETURN TO" Space on the revere side. Failure to do this will prevent this <br />card from being returned to you. u e f v de u hen me of he e n <br />Slellverad to end the dare of degverv. For additional, fees the follawing services era avellebfe, Consult <br />postmaster for fees entl check box(es) for etldltlonel servlcelsl requested. <br />1. ^ Show to whom tlellveretl, date, end edtlresrae's etltlress. 2. ^ Restricted Delivery <br />1 (Extra charge) 1 1 /Exfra chnrgeJ 1 <br />3. Article Addressed to: <br />/.~-/~~-rr Gt~Q /~z 4. Article Number <br />p 987 ASS I ~ <br />/~ ~~ • ~ ~~~~~ ` <br />L J~~ Type of Service: <br />^ Registered ^ Insured <br /> ~ Certified ^ COD <br />~`~L~~ ~ <br />~ ^ Express Mail <br />~ 8 ~~~~ <br /> Always obtain signature of addressee <br /> or agent end DATE DELIVERED. <br />5. ignature Addressee <br />1 8. Addressee's Address (ONLY if <br />V <br />X ~ requested and fee paid/ <br />C <br />6. Signature -Agent ¢ /_~ v t. <br />f;, <br />X p. <br />, . <br />7. Date of Delivery <br />\~/,~• . <br />PS Form 31317, Maz. 1987 a U.S.G.pO. t9l7-t76Yee DOMESTIC RETURN RECEIPT <br />P 987 285 114 <br />Receipt fob _. <br />Certified Mail <br />No Insurance Coverage Provided <br />Do not use for International Meil <br />ISee Reversal <br />5're~a d2c L1. S~ ~ SSA <br />`` <br />0 ta~ and ZIP Cotle <br />- P. ~ ~ <br />~ <br />Poarage n <br />~ / <br />Cerblied Fea / OQ <br />flastricted Delivery tee <br />~ flemm PapalQt 91oNleg, C <br />~ io Whpfi 6 ~f.la D1liierea <br />~' Remrn amt SPowjng to Wnom. <br />c Dat/.~]a AdareS~eP'~~tldrass <br />~ TO AL Posuge <br />B Fees ~ " <br />0 <br />~ Post ark or Dal 1 - j <br />E ~'~' . <br />0 <br />LL <br />N <br />a <br />