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<br />0 'P 436 785 334 3? <br /> 0 <br />~ US Postal Service ~ <br /> Receipt for Certified Mail <br />U No Insurance Coverage Provitled, f~ <br /> Do not use for International Mail See re e®e <br /> 1(0 ~ d <br /> <br /> Street d Number <br /> s ~. <br /> P f Office. te. d P Cale <br />uj r <br />N Ppstage $ ~ <br />~ Cenifietl Fee ~ ~~ <br />C Spedal Delivery Fee <br />Restdaed Delivery F <br />~N <br />m Return Receipt S <br />~_ Whom d Date if0 <br />(7 ~ ReMn Recegt 5 <br />~~ Date, d Pd7ress <br />~~"~~COCDD TDTAL Posta d <br />l.Jr'r Postmark or Date , <br />QIL <br />a <br />v SENDER: I also wish to receive the <br />V <br />H .Complete Hems 1 endor 2 far atltlnional services. <br />• Complete earns 3, 4a, ono 4b. fOIIOWing Services (for an <br />' <br />d • Print your name antl atloiess on the reverse of this Norm so That we can rewm This eXlfa fee): <br /> <br />w card b you <br />. Attach Ihis lorm to the front of the mailpiece, or on the back it space <br />does not <br />7. ^ Addressee's Address ~ <br />~~ <br /> permit. <br />• W me 'Return Rece~pl Requesred"an me mailpiece below the ankle number 2. ^ Restricted Delive <br />rY in <br />u <br />` •The Return Receipt will show to venom the art¢le was tlelweretl antl <br />debveretl. the data CdnSWI ostmaster for fee. <br />P <br />a <br />0 <br />~° 3. Article Addressed to: 4a. A icle N mbar ~ <br />~ 33 <br />~ '~3 <br /> ~ ~ 7 <br />i e <br />d <br />n ,l i <br />K (J _ _ _ <br />0w~.(~-- <br />~ <br />~~ <br />~ 4b. Service Type <br />o 7 <br />~ <br />~ ^ Registered Certified <br /> loo ~p ST <br />^ Express Mail ^ Insured ~, <br />~ <br /> ^ Return Receipt for Merchandise ^ COD ~ <br /> ~ <br />1~', n_e Q p ,_r 1 U n ~ b3/ 7. Dale of Delivery o <br /> <br /> 5. eceived By: (Print Mame/ 8. Addressee's Address (Only it requesfetl x <br /> and fee is paid) ~ <br />w ~ <br /> 6. Si e: (Addres~ee or Ag nt <br />T <br /> <br />°-' PS Form ~er'r, December 1994 ~ tozsss~se~e~bzzs Domestic Return Receipt <br />