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~ ~___-__ <br />III IIIIIIIII IIII III <br />a SENDER: <br />•Compete Ilene t enN« x for rWditWnel aeMcae. I also wish to receive the ; <br />'n •C«npele ueme s, N, end an. following services (for en <br />•card to~yoru.~e end atltlreae on Ne reverse of this form ao that we can velum tree axUe }ee): r <br />' •Meah tlda torrn to the /roM W tM mailpiace, « on tte back If ~aoe does rwl t. O Addressee's AddreS9~ <br />a permit. ~ V2 <br />• Wdte'Aefum Remipf Requested'an the mailpiece below the article number. p. ^ Restricted Delivery tX <br />•ThB Retum Rrrceip will show to wtam the article wee dalwered end the tlate ~ <br />aaweree. Consult postmaster torlee. - <br />a <br />3. Artlcy~~A„„dd~re~sse o: ~~ / <br />iii `. ~t~~~h0 ~/Ifi Ji~t7~" <br />~., ~ I V ~ / <br />,~,oa.e~) Co B 16 2I <br />5. Race v By: (Print Name) <br />i <br />6. Sign t : (Addressee orA t <br />o <br />a+ <br />4 <br />PS Form 387 X,)December <br />r <br />f <br />i <br />C <br />C <br />0 <br />C <br />1 <br />V <br />a <br />0 <br />i. <br />4a. Arfi Num er <br />7 ~ (~~ z33 aa'? <br />4b <br />ervice T <br />e o <br />. <br />yp <br />Cerfified <br />^ Registered o <br />~ <br />^ Express Mail nsufed ~ <br />^ Retum Receipt for MerchentLSe ^ COD <br />7. Date of D livery ~ <br />-~ <br />I~- <br />o ~. <br />B. Addressee s Address (Only if requested ~ <br />end /ee is paid) r <br /> r <br />mzsss w-euvs <br />7~~268 233 ~~.~,~ <br />US Postal Service <br />Receipt for Certifled'oll~ 13-~- <br />No Insurance Coverage Provided. <br />Do not Uselor Inlemalional Mail /See revercel <br />I 5 <br />Sir m <br />Po Cad ('~ <br />(~ <br />Postage § <br />CertiG ~eL o0%q,5 ~ L a` <br />Spe ~ live)y F\ee <br />R - I Delivery Fm <br />, n. , <br />~ ReN ecd{~t SIWlwng <br />' Whom Date Dew f <br />F RNUm Rx <br />Date, 8 Ad6essees Addles <br />TDTAL PosWg~ 8 Fees a f ~~ <br />~ Posbnara or Dale <br />i <br />