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dG 4R: Complete kerns 1 end 2 when sdditbnel servlms aro desNSd, end compote ttema <br />• 38E <br />N <br />s <br />n <br />Put yen address In Me "'RETURN TO" Spew on the reverse sbe. Feiluro to do thin well prevent thb <br />wrd from bakp returned to ou. m I fee will rovida au the name of the non delivered <br />to and tees det of del For o ow n0 serv s are eve onau poatmA9ter <br />rof -ea~ a~~~ x sa for etldhbnel aervlcelsl requested. <br />f. O Show to whom dellvemd, date, em1 eddrase9e's address. Z. O Restricted Delivery <br />(EUra osmge) (LMro cBerge) <br />3. ANcle Addrea+ed to; <br />~ n~- ~ l.ec f~iecri~~" <br />E~~ 4. Article Number <br />b 3 a 7~3 <br />u f S <br />T <br />i <br /> <br />~3S ~ `~ erv <br />o <br />ce: <br />.~GrtIRW ^ DOD <br />v <br />1I ^ Express Meil ^ Pat m Rh ~I t <br />\ <br />J <br />S''CG <br />Z f 5 <br />~ O <br />~ rstun d edMepsa <br />A1wa <br />aMMn sl <br />, <br />L U ( <br />G <br />G ~ ~ L~ p <br />W <br />DKIVERED <br />DAT <br />D or apem erW <br />. <br />E <br />6. Sloneture -Address 8. Addressee's Address (ONLY EI <br />X regrened ared fee po(dl <br />8 re - Agem <br />sts of l~ <br />~a r <br />P5 Forrrr 3811, Mar. t988 <br />O.P.O. 1088-212-806 <br />P 116 322 783 <br />m <br />_~ <br />m <br />LL <br />a <br />RECEIPT FOR CERTIFIED PlIAIL <br />ND INSUIIANCE CDVEMGE PNDVIDED <br />NDi FON INTEPNATIDNAL MAIL <br />(See ReveFSel <br />DOMESTIC RETURN RECENr <br />Sent Io c-,} ~ [,eC <br />rr: tf <br />Street and No 1 ~ <br />~. <br />P O .Seale antl IP Code <br />s .~ <br />CO `So <br />Postage S <br />CeNhed Fee ~~ <br /> <br />$pec~al Delivery Fee <br />ResU2(etl Deln•ery Fee <br />Return Receipt Showing <br />to whom antl Date Delnereo , /jD <br />7 <br />Return Receipt showing to wham. <br />Date. and Address of Delivery <br />TOTAL Poste <br />Postmark Da ^ /v' 'i,l <br />F 1 <br />• <br />~ <br />rp, J c: <br />~ <br />l <br />G. <br />~' <br />'f <br />, <br />/ <br />'I b <br />