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.TOE%vpii ADHESIVE MEYOVE Tp E%M ADHESIVE <br />e RErpVE TO ExvpSE ADXEfIVE RE VE TO E%v. _ ,yg~~~_,;p ;J: EOC}~' <br />::- :_ <br />. TO F%~OfE ADwESwE REMOVE TO E%-OS~ADME6/VF---------------------.----------- I _ <br />.______. _ __________________~___9c__ ~_ ~ L- <br />. ~ <br /> <br /> > <br />C <br />8 i~ <br />I <br />I ~ 8 <br />tg <br />8 <br />u~l <br />6 0 <br /> Tl <br />• <br />m <br />r <br />a <br /> <br />r. ~ C 1V <br />. <br />` a ° <br />` <br /> o <br />D d <br />~ <br />~~ ~ m <br />~ s <br />W <br />~ _ n <br />~ a N <br /> <br />W <br />o e <br />~~, ~ <br />p <br />W <br />t <br />9 e q <br />S <br />9 <br />~ <br />O <br />Q <br />GG <br />1l a <br />D <br />5 <br />~ <br />~ ~ <br />6 <br />e q$ ~ <br />~ ~ I <br />O <br />W ~ ~ y"~y~' W <br /> W ~ sn`~ <br />Yeg~ <br />: <br /> i <br />I <br />J <br />~ <br /> <br />W {i <br />~ <br />+ y <br /> ~~ <br />~ <br />Z <br />., •. <br />~3 <br />• SExOER: Canplete Hems 1, 2, 3, and 4. <br />Add your address In the "RETURN TO" <br />space on reverse. <br />(CONSULT POSTMASTER FOR FEES) <br />1. TM tlbWnp fervl[e b rcpuasletl INepl om). <br />®Slme btNbm elN dab tlaevere0 ............._ __i <br />^ ShsR ltl rlum, tlale. and atltlres5 at ae0.rery .. __t <br />t. ^ RFSTTOCTED DELIVERY........... __ <br />................ t <br />Irh /eloAilo arewr /d b p+'Ob b agIIrY <br />b eV nrure nreVl W.f <br />TOTAL S~ <br />1 MIICLE ADORFSSEe T0: <br />Connecticut Gen. Life Ins. Co. <br />209 E. Carpenter Frwy.,Suite #31 <br />Irving, Texas 75062-2710 <br />~. TYFE OF SERVICE: ~ AA[ICLE NUMBEA <br />^RECISiFAED ~ ^INSURED <br />mcERnFIED ^caD <br />^EXFRESS lout P 28 32 4 <br />(Always ohhln tlpnahre of aCdrsesn or apem) <br />1 Ibve Ixelvetl tie ankle tlescrlDetl aavn. <br />SIGNATURE ^Atltlnssee ^AWlon:etl apenl <br /> <br />S' GATE OF DELIVEAY POSTAIAIIN <br /> (mq b On muse ueel <br />6. ADOPESSEE'S AOCRE55 (orxr a repwba <br />7. uRACIE TO OELNFA 6ECAUSE: Ta. Et~7l0YEE'S <br /> IVITLILS <br /> <br /> x <br />a <br />Z <br />m <br />n <br />D <br />ti <br /> <br />P <br />i e Conn • Gen • LiLelns.~o.._ <br />N 5:...,,.,,;,, 209 E. Carpente <br />I a eeway_,_Suiiie # 314 <br />Irvin Texas 750 <br />u , ..~yE <br />~ _ _- ~, F., .22_ <br />m <br />E <br />0 <br />a <br />•GVp 1BeaJ]P59] <br />1 <br />. l7~ <br />..-.. _ JS. .. - <br />J <br />I <br />Dc'.,~. .-.~ <br />a.... .:.') I ~.~: <br />'.•~CT dfJ ~dE .Jc rEY] .7D <br />~.. ~ o' ~e~. i <br />~{r.~' <br />P 289 325 472 -; <br />_ =~.. <br />~2-_~a .. .. ~ - <br />MAILED 5/18/87 <br /> <br />