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• Cmri-hs Mema 1 rrtlter 2 for adtllfNnd eavicee. <br />~ OIfaY 3, eafl b 11 D. <br />• 1Y1111 your name end address on fhe reverse of this form so that we can <br />realm thin Cold to.you_ ' <br />p • Attach mia form fo ttro iron[ of the maibiece, or on [he back It space <br />~ tloo not permit. <br />r • Wdfe'Yietom RecaiplReques[etl"an the makpfece bebw Neertlde mantle <br />•' • TheRelum Receiptwiashow to whom the atticle was tlelivend endfhe dit <br />G delivnad. <br />a 3. Article Addressed to: 4e. AI <br />I also wish to receive the <br />following services (tor an extra F <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery o <br />Consult postmaster for tee. <br />de Number <br />o <br />5 ~P.29'~+ fp0~ 8'~Q ~~ <br /> `-"p"'~~~~ r~-~ <br />,~,~~ ~A <br />' ~`R t; `•'•r I <br />~ <br />' ~~' 4b. Service Type <br />^ Registered ^ Insured <br />y vrUrM <br />t ~Certified O COD .~ <br />fNit A ,, <br />(73('j~ hJr ~(~~ /~tr~, $raa~ ^ Express Moil ~ Return Receipt for ~ <br />tL (?O <br />S ~°""/ ~ ~otto~ 7. Dat <br />au.s. cPa. <br />Merchandise <br />of D livery w <br />~ aa-~,~ ~ <br />~ssee's Address IDnly if requested ~ <br />ee is paid) <br />i <br />k <br />--` 4~~P - <br />P• 296 6 ]7 838 <br />c <br />Receipt for •~e m_43~d41 <br />Cer ified Ma <br />No I ' ce Coverage Provided <br />Do;not for International Mail <br />N e` vrs <br />(7f ~arffn d E11yr h <br />arvo 5 17 <br />1 ~ 301 Ini • cei~. <br />0 S~.~le ono bP lotle uQ <br />(mod I d.t,v. CO <br />os~aga' <br />e~LLatl Fee <br />$oeaa De~~•err fee <br />4, <br />Pesv~Uea De~..es Fev ~ '+~ .~ <br />C1 <br />Peivn Peceiq~ Snow~~q r ~. `~ <br />io whom a Oa • ~' <br />PeWm Pec~~oi 5 -U . <br />Dale. an0 AOtl~eseee s Fa0 e <br />~ TOTAL Pusiage ~ ~ _ <br />g Fees <br />Pos~ma,r o~ Dare <br />Division or nnneralg ~ Geology <br />