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o P 436 7B5 331 ?) ~n <br />t:y US Postal Service ~ jSS~ <br />$ Receipt for Certified Mail's <br />O No Insurance Coverage Provided. C. <br />~ Do not use for International Mail See I <br />m <br />N ~ ~ ...ice <br />Slree Number r <br />~ OC -~ <br />Q P st OHice, rSlale, BIZ~IP_C ~ <br />re l W Ori <br />N Postage $ > 2 <br />Ce ' ~~~~ <br />Q rro <br />Fee <br /> <br />TOTAL Postage 8 Fees 7 A <br />i.~ <br />y SENDER: <br />.Complete items 1 antl/or 2 far atltllbonal services. <br />, I also wish to receive the <br />following services (for an <br />y <br />d . Complete items 3, 4a, antl 4b <br />• Print your name antl atloress on the reverse of this lone so that we can r¢lum this <br />extra fee): <br /> <br />d cartl to you. <br />•Attach this lone to the Iront of the mailpiece, or on the back it space <br />tloes not <br />t. ^ Addressee's Address ~ <br />~ • Wri el•Retum Receipt Requesretl' on Ilse mailpiece below Ilse article number. 2. ^ ROSIfICted DeVery N <br /> • The Return Receipt will show to whom the article was tleliveretl antl <br />tlehveretl. the tlale <br />Consult postmaster for fee. <br />g <br />0 3. Adicle Addressed to: <br /> <br />~~Q. ~a,Av~a,t <br />- 4a. Article Nu'nb r <br /> <br />~F3 ~ '7SS 33 <br />d <br />o, <br />c <br />U / <br />3 ~ ~ ~ ~ 0(~{M / ~~ <br />_ X 4b. Service Type <br />^ Registered ~ ~ Cerlilied ~ <br /> U <br />/l. ~ (~ _ p~ / <br />~1 r Q,~PJ~td ~ p bN~f <br />^ Express Mail Insured <br />^ Return Receipt for Merchandise ^ COD <br />~ <br />~ <br /> 1 b 7. Date of Delivery o <br /> 'S~~ "1 9 ~~' o' <br /> 5. R ceived By: Pri ame) 8. Addressee's Address (Only if requested x <br /> ~ and fee is paid) ~ <br /> <br />C. Ci,• 1,. ~ /ANN.~nr~r, r• III r <br />f <br />J A <br />T ~~ <br />'-" PS Fc <br />994 lozsssseeozze Domestic Return Receipt <br />