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e. <br />N , <br />u /~N~I~ . <br />' Ppetepe S ))~~ <br />~ ~ ~ ~ Cedlllea Fee G (~~r] O t <br />~ Relum Recelpl Fee ~ P__-"' W <br />i fu (EMpnament Repulratl) ~' ~ Ne(e} p i ~ t • <br />' ; ~ RseMpea DeAVery Fee Q , 1JJ r ~ , '~j. <br />~. : ~ (Fnaonemenl Required) 2000 . <br />',O TaalPwrepaa Fees ~ a. /~ (JSPS ~ , <br />r~ N Neme (Phrre PNnf,CAN/,Sgly)~(wTO~~M,~/e~p,~mppryhd by~m~jy~lsr'J / 1 <br />.... <br />m 's~~i p':6~ ed o.: N;: ".---~~ f---/--_{---._!^W V:...~ I (,.~o <br />----..P..Q..A~r._..i14° ................ <br />~O C/ry, Stare. P~ -.. .............................................. <br />1 r ~Pµ~r Go gp3oG <br />:,~ <br />^ Complete Items 1, 2, 0nd 3. Also complBte A. Received by !Please Pdn( Clearly) e. Dale of Delivery <br />item 4 If Restdcted Delivery is desired. ~ _ ~(_ 0 0 <br />^ Print your name end address on the reverse <br />I <br />~aty e <br />C <br />so that we can return the card to you. , <br />. , ~ ^ Agent <br />^ Attach this card to the back of the mallplece, X Addressee <br />or on the !rout If space penults. <br />? ^ Y • <br /> ry eddnss dMlerem m 1 es <br />1. Article AdtlrBSSed to: II YES, Bnter tlelNery atltlrBS9 below; ^ No <br /> <br />Gl° I~tn~~CSr~y a~ Ce~ <br />~ <br />Po ~3ox~. n do ~ <br />C° <br />/J~ ~ l,.~ G ~y <br />~7u~( <br />W ~ <br />~W (~OJ ~~ 3. Servlee Type <br />^ CerlHled Mall ^ Express Mell ~" J <br />~~ ~ <br />. <br />! y <br /> ^ Registered ^ Return Receipt for Men:hentlise ~ <br />7~ ~ <br /> ^ Insured Mell ^ C.O.D. m <br />4 <br />~ <br /> 4. Restrkted DelNery? (Extra Fee) p Ves <br />~ <br />~ <br />2. Article Number ICOpy horn saMCe labeq <br />01 <br />o <br />2 <br />~ <br />Y C ~~ <br />CCCiii <br />~-, ~q 3z~ a~ <br />a 9 <br />6 <br />' . <br />(v ~ <br />iA11 1.d„7ggn nnmecric Return RncehN <br />^' ~ •,• 102595 oamirxn <br />