PERMFILE62719

• Permit No: M1987113
• IBM Index Class Name: Permit File
• Doc Name: CERT MAIL
• Media Type: D
• Archive: No

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• Complete items tend/or 2 for additional services. I Nso wish to rscsivs the
• Complete items 3, and 4e & b. following services (for sn sxtrs
• Print your name and address an the reverse of this form so feel:
that we can return this card to you.
• Attach this form to the Tront of the meilpiece, or on the t ~ ^ Addressee's Address
beck if space does not permit.
• Write "Return Receipt Requested" on the meilpiece next to 2. ^ Restricted Delivery
the article number. Consult postmaster for fee.
3. A/rticle Addressed to: 4a. Article Number
l~ ~ J,q/~/ 4b. Seer 'ce Type
"'~~~`/"y~ ~/ /1 ^ R ~ ' :ered ^ Insured
G~ ! /~ ~ ry...1r Certified ^ COD
^ Express Mail Q'Return Receipt for
Merchandise
7. Date gf,Delivery
O
5. Signature (Addressee) 8. Addressee's A s f requeste
and fee is paid)

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