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o SENDER: <br />v •Compete aeme t and/or 2 for otldPoorel earvice•. I also wish ro receive the <br />n •Cern'y1a16 ileme 3. /e, entl fib. 1oIlOWing eefVICBS (rof Brl <br />~ • Pdnl your name end eddrese on the reverse of thin bore eo Nat we ran return Ihie extre }e9): <br />N <br />` rsrtl to yOU. <br />• ~~ dus brtn to the hart of she mailpiace, or on urn beck It space tloea rrot <br />7. ^ Addressee's Address O <br />Z <br />m •Wdte'Hefum Receipt Requested' on ttro mailpiece below the erode number 2. ~ Resbided Delivery rR <br /> •The Return Reraipf will show to whom fire aditle was delivered end the date <br />~ <br />~ <br />0 tlNiveretl. ~ Corisultpostintasterrorfee. 14 <br /> 3. Artlcle Addressed to: <br />~haMa, 't aa~~ 4a. Article Number <br />'~3~ 7S I ~~D i <br />a <br />c ~lk~_ () ,,r ~, q~ e~y ~y~~ <br />l "`"~_ ~ _ ~ 4b. ervice Type <br />~ St S~ ~~ <br />~ <br />(~ ~ ~ ~ r(t ^ Registered ~, Certlfled <br />E ~ <br /> , ^ <br />xpress MaG ^ Itrsuttad <br />c ~ ~~~ C~o ^ RetumtieoalptforMetchanmse ^ COD <br /> G ~ <br />~ / 7. Date of Delivery <br /> q <br />Q r <br /> 5. Received By: (Pont Name) i ~~ . B. Adtlressee's Address (Only ll requested ~ <br /> . v C>J ~ ertd lee is paid) ^ <br />~' <br /> <br />O 6. a e: ssee Aggy <br />4 <br />r X o Q <br />n <br />PST orm13811, December 1s94 `L~ 102595-W-B-01]9 Domestic Return Receipt <br />P 436 791 $60~ <br />,y US Postal Service ~\~ <br />~,~, Receipt for Certified Mai s9 <br />No Insurance Coverage Provided. <br />Do not use for Inremalional Mail See reverse <br />~.~ Sem to S aln.i~ E R 5TI rJ <br />"(u~ 1u~ <br />`'~ Street A Number <br />c 1 O r~ ST S-rt <br />P st ice, State, ZIP Code ~ 0 ~3 <br />n U4~ <br />:!1 Postage $ 7 <br />rX s,e~ W rvFUdiR:v <br />Rost ~ eliveryFee <br />Retu R ~ LS I° f ~ S <br />Whom ~ eta 'livered-'~ <br />Rehm Rtt <br />Dam,6Oddressees iA7u~ ~~ <br />TO7AL Postage d Fees a <br />