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•COmplele ilema 7 end/a T for eddiborW eervMea. ~ 18150 wish t0 reCBIVe iha <br />•Camplete items 3, 48, and db. following SefY1C89 (for art <br />•Pdm your name end addreaa on the reverse of Ihie roan eo Net we can velum this exha 1ea): <br />mrd to you. <br />•~~ Nis roan to the Nord a the mellpiace, or on the bads it apace dose trot <br />1..Q AddresSBa's Address a <br />Z <br />•Wdle'ReNm Raatlpt Requested' on ttre mellpece bebw the snide number. 2. ^ Restgded Delivery o <br />rR <br />•The Retum Receipt witl show to whom the ertlde wac delhrem0 <br />delivered. end the date <br />~ <br />COnSU1t pO5hna5lef for fee. <br /> <br />3. Arfide Addressed to: <br />d7\~y-DV~ ~ VY~aLaQ <br />~u,~r. <br />r 4a. Artide Number <br />~3tQ ~$ ~' 8(~i 8 <br />e. <br />,,. <br />,,~ <br />. <br />/~' of /''~, ~ 6 v'~is(Tay~o~ CS.~,-e 4b. ervice Type <br />^ Registered j$ certlfled ~ <br /> <br />a <br />n ~ ~ <br />T,p~[,~.f ~' 0 (03 ~ ^ Express Mail ^ Insured <br />^ Rehm Receipt br Merdten3se ^ f~D 5 <br />~ ' <br />~ <br />x <br />11 7. Date of Delivery <br />. 0 <br />a <br />5. Received By: (Print Name) 8. Addressee's Address (Onty i! requested ~ ` <br /> and lee is paid) ~ <br />6. Signature: (Addresses orAgeytb ~~, Q $ IUUJ <br />~iiri~~. <br />PS Fo December 1994 <br />i~ <br />~,.~ P 436 '81 861 ~ <br />N us Postal Se.'Gice <br />~° Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />0 Do not use for Inlemational Mail See re~ <br />V Sebt to 7 <br />j Str 6 Number <br />C r•rs <br />0 Post ce, Slate, 8 ZIP Code p <br />~ e O a F~ Jtl <br />~-. Postage $ ~ ~ . <br />CV <br />Cenilied Fee 2 b r S <br /> <br />~ .,_ <br />~ ~ <br />~~ <br />U <br />TOTAL Postage d Fees I $ (1 • `J g <br />Postmark or Date r/ <br />