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co <br />N <br />m <br />U <br />C <br />ry <br />.~ <br />N <br />E <br />~ rn <br />~ a <br />L - <br />~a <br />~a <br />r-a <br />C~ <br />~~ <br />(~E <br />^~^l~i <br />1.~ <br />P, 436 785 3?7 m <br />US Postal Service -~ <br />Receipt for Certified Mail ~ I~ <br />No Insurance Coverage Provided. 7~ <br />Do not use for Intematl00al Man 599 re fine <br />ntt d <br />~ ~ p <br />d Q <br />eat 8 NOum er <br />r ~ ~ <br />, 8 P Cod <br />Post glice, tate <br />h e <br />bG <br />1-9'3 <br />Po age $ <br />Certined ~VE/q <br /> <br />Rest ~ Nivery q <br />Retu a <br />Whom ikl <br />Return Rexip <br />Dare,a Addre55ee'a M6ass <br />TOTAL Postage d Fees $ _I <br />Postmark or Dale <br />~' <br />~ ~ <br />r <br />;; SENDER: <br />v • Complete items 1 antl/or 21or atldilional services. <br />~ .Complete items 3. 4a, and 4b <br />~ • Print your name and address on the reverse of Ihis form so Thal we can return This <br />cartl to yoa. <br />~ • Attach this form to the front of the mailpiece, or on the back it space does not <br />y permit. <br />~ • Wnle 'Return RecefOr Requesfed'on the mailpiece below the adicle number. <br />t • The Return Receipt will show to whom the aNCle was delivered antl the tlale <br />deeveretl <br />0 3. Article Addressed tp: _ 4a. Article <br />v <br />d <br />n 4b. Servicf <br />g~ ~ db63(-ti3~~ ^ ePrnR <br />7. e <br />O Na , <br />f <br />¢ 5. Received By: (Prin( Name 8. Ail~res~ <br />~ and Te@ <br />f <br />0 <br />>. _ <br />'-' F <br />I also wish to receive the <br />following services (for an <br />extra fee): <br /> <br />1. ^ Addressee's Address ai ' <br /> <br />. <br />°- ' <br /> <br />2. ^ Restricted Delivery ` <br />n <br /> r <br />Consult postmaster for tee. n <br />7~s ~ ~,~ d <br />¢ <br />~. <br />oe ~/ <br />Y ~0 iLV.Certified ti `. <br />ail O~ ^ Insured O1 <br />c <br />df dise ^ COD ~ <br />G p` <br />~ ~ , <br />O <br />A (Only it requested x <br />9 ~ <br />A <br />f <br />h Receipt <br />