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m SENDER: <br />o .Complete ilerrt9 7 anNor 2 for atltlitional services. <br />I a150 Wish t0 reCeiVB the <br />m •Complme items 3.4a, an0 ab. following SBNICBa (fof an <br />mm .Print your name and address on the reverse of this form so that wt can return this BMra tee): <br /> <br />~ rartl Io you. <br />.Mach this form to the front o1 the mailpieca, or on the beck 11 spa<a does nal <br />~. ~ Addre55e9'S Address Y <br />~ <br />y Permit. <br />• Wdle'Relum Receipt RequesreC' on the mailpiece below Na enic a number. <br />2. ~ R851dCted D01iVety y <br />N <br /> .The Relum Receipt vdll show to wrwm the snide wa6 delivered grid the tlate <br />a <br />~ salivated. Consult postrnaster for fee. Y <br />~ <br />o ~S Article Addr sad to: qy~ ~gCle erg( ~ ^ u <br /> <br />u° ~, <br />• ,,,...~,.,,,o ,.,~o v <br />^ Registered Certified <br />~ <br /> /~ ~ <br />1`-'dl <br />~~ ~O ^ Express Mail O Insured 5 <br />~ <br />^ Return Receipt for Merchandse ^ COD <br /> '' ~ ~ ~ ~~/~` <br />J 7. Date of Delive ~~ ~ f <br /> 1 <br />~ 5. Received ~ (Print Name) 8. Addressee's Address (Onty rf requested ~ <br /> <br />-- end !ee is paid) yR <br />r <br />6. <br />0 <br />T <br />Ps Receipt <br />.r _ _ <br />~ Z 434 94~~5 vm <br />US Postal Service Fli@ <br />w Receipt for Certifie <br />~. No Insurance Coverage Provided. <br />W OQ'dot use (nr Inmmaen..~r rs~e re,.,. ._..___. <br />~ t __ _ ___ <br />3 <br />m <br />-. <br /> <br />j P 6Z <br /> <br /> <br /> Postage S <br />IV Ce <br /> <br />Un ~ <br />. <br /> ~ <br />~ tridetl~livary ~ <br /> mR h 'g <br />T BR <br />['~ mRec' <br />(y~ Ualq ress <br /> TOTAL Postage 8 Fees !'~ <br />( PosMerk or Data <br />.~ <br />-ri <br />a <br /> <br />