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<br />Date of Service__August 7,__~ Iq_81 <br />person Server) Vance Mills <br />--------------------- <br />------------------- -------------- <br />(~lease print Wane antl title) , <br />MI"]ED t~/~a.HO710v ~IVISIJN <br />3y------------~ ---- ---------- <br />(autnorizetl reore _n to tiv?) <br />$ianatJre_____ -____ ldichael 5. .Savage, Reclam_ation__S_neciaiist <br />= P <br />(??rson serv2tl) (lame ano title pleas print) <br />I•M°D~tTn.VT: 7LEASE Qi:aD T~fE REVERSE SIDE OF THIS ~oGc. <br />LO/79 i..~.S. 1973, 3c-33-123 <br />• <br />~• <br />11~' .~'-sue <br />