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<br />~~CE(ll~L <br />fJ~~ 16 icSC <br /> <br /> <br /> <br />Div+s+on of YIinBSals 1? G2oto <br />d SENDER: <br />v •Complele items l anNor 2 far adtlilional services. I also wish to receive the <br />m •COmplele items 9, da. and db. t011owing sBNICBS (tOr an <br />a • Pnm your name and address on the reverse of This loan sp Ihal wa can return Nis ~ t <br />Wrtl to you. <br />j •Attach Nia loan to the Irom of the maipiece. ar on the back if spay <br />~ gemtil. <br />o • Wri19'Aerum Reteipf Revuesfed' m the mailpiece Delow the aniUe <br />•The Return Receipt wi0 show to whom the snide was delvered antl <br />~ delivered. <br />O <br />a 3. 'Article Ad//dressed to:pp ~~ // (f' <br />4 L0. kZ 117vt/I~y IX.C~r(I ~~r ~~TTIdS/Ox' <br />E // <br />P.0.8ox ~~~ <br />N <br />~~~~ ~ ~ ~ ~~ , Cc <br />°a ~~~W~ <br />2 <br />F 5. Receive <br />w <br />g 6. Sign <br />a°. ~( G <br />n <br />PS Form <br />December 1 <br />or <br /> e ra ee). <br />u <br />apes not ~, ~ Addressee's Address Z <br />npmoer. 2. ~ Restricted Delivery rn° <br />the tlale <br />Consult postmaster for fee. <br />.~ <br /> <br />4a. Article Number v <br />ol sYy <br />P ~o~ l <br />~ <br />4b. Service Type <br />m <br />^ Registered ,Certified ~ <br />^ Express Mail ^ Insured 5 <br />Rehm Receipt for Merchandise ^ COD <br />7. Da ~_Delivery <br /> 0 <br /> a <br />8. Addressee's Address (Only it requested ~ <br />and lee is paid) t <br /> <br />P 1a7 ~D1 E44 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />DO Odt use Inf Inlematinnal Mad /.SOa reversal <br />N <br />m <br />o, <br />n <br />6 <br />C <br />O <br />m <br />h <br />E <br />o <br />rn <br />a <br />Sem to /~ / <br />tRke Cdu.+f•r cA ldm~T1551Cntr <br />Street 8 Number ' <br />x'0.3 5b <br />Post DHica, Slate, 8 ZIP Catle <br />L.:ac(v, I CU <br />6c4b1 <br />Postage $ ,S-C <br />J <br />CeNGed Fee ~ l <br />J <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />Return Recept Shownq to <br />Whom 8 Dale Delrvereo <br />. /~il <br />Petum Rttnpl Shamy to Whom, <br />Oate, 5 Addressees Address <br />TOTAL POStageE Fees $ ~OL~ <br />Postmad or Dala <br />~~ 6 9 <br />idnr. <br />