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T ~ ,r <br />1 O. UJv <br />Eil~ <br />RECEIPT FOR CERTIFIED PAIL <br />ND INSDP.ASCF C01'ERALE F%G'iI:ED- <br />NOT FOR INTERNATIONAL FAAR <br />(See Reverse) <br /> PJSIAGE <br /> <br />N CEF.R IFIED FEE <br /> W iS°EGU DEJVERV <br /> m <br />0 .=ES. RIJ'cp D"c'.I:•r_RY <br /> WI: <br />~ ~ ' <br /> iU <br /> <br /> W <br />• <br /> ~ J c^ c":'A R W-.'..N.. URfE 41D <br /> .n a i 17.14 a DLI61RY <br /> 0 <br /> y p <br />~ W <br />w SHDN 1U WiJ4 AHO 6AR <br /> i ~ Di LI.TP.ED MlH Rc'T, "i Pl[Rp <br /> h o S DORY <br /> Z <br /> o <br />u > inCF fG B=: V. C+R 4RU <br />w <br /> lAp RfSS Di aVrtAY MTIX <br /> <br />e <br />~ <br />TOTAL POSTAGE AHO FEES <br />n POSTl1ARk OR DATE <br /> <br />o ~; <br />m <br />),.,.~ <br />€ <br />4. ~ - <br />r <br />6 i rT i„_'I <br /> <br />S <br /> <br />RECEIPT FOR CERTIFIED MAIL ~ RECEIPT FOR CERTIFIED L:~ <br />HO 195UP,4NCE COYEP.AGE PROVIDED- HD I4SDP.AIiCE COYEP,AGE FF DI'C E^- <br />HOT FOR INTERNATIONAL 1.!AIL N01 FO'r. INTEP.NATIOI;;I !'AIL <br />(See Reverse) (See Re~: erse) <br />iENI TQ_ SENT TO / _ __. ~ <br /> POSTAGE <br /> S <br />S CERTIFIED FEE <br /> N <br /> <br />G W <br />W <br />w S~ECIAI DELIVERY <br />C o¢ ~RESTRICIEU DELI'/ERv <br /> ` "I <br />~ <br /> w ::~n NtiV NJ^+lE <br />= u <br />~. <br /> ~ <br /> _ ~ ~ S6'C'A IO WNCY CAR AHD <br />G I W q,F ~ a Da.TAY <br /> 6 <br />0 o <br /> <br />~ w SNDh'ro Nd~N tAp pAR <br />~. <br />A w o ~ OEl1YlVI WpH RCSiRICRD <br /> z <br /> <br />W ¢ <br />~ Si;;h ro NNCY. 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D!ll7LN: NIiN G I <br /> s RiflL Di lr/LRT <br />d <br />~ <br />TOTAL POSTAGE AND FEES <br />S <br /> POSTMARK OR <br />A <br />"; F: <br />G <br /> ,, <br />m L <br />`' 1 e nl <br /> , <br />~ <br />W ~ r <br />~ ,A <br />~G. <br />~ , <br />I <br />No. G3~89' 3 <br />RECEIPT FOR CERTIFIED MAIL <br />ND INSURANCE CDVERAGE PROVIDED- <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />POSTAGE S <br /> CERTIFIED FEE S <br />w SPECIAL DELIVERY S <br />W <br />~ <br />RESTRICTED DELIVERY <br />S <br />0 <br />w W <br />w <br />SHDN i0 N'XOM AKD DAIE S <br />W ~' ~ auvLRm <br />N ~ ~ <br /> <br />f p <br />C <br />w W <br />~ 511DW ro wxOM. DAn. 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STATE AND ZIP CODE <br />No. 0308°12 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIOEO- <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />e <br /> <br />SENT TO <br />STREET AND NO. <br />P O., STATE AND ZIP CODE <br />POSTAGE S <br /> CERTIFIED FEE S <br />W SPECIAL DELIVERY S <br />~ RESTRICTED DELIVERY S <br />0 <br />~ <br />N~+ <br />cWi <br />SHOW ID WHOM ARD DAR <br />S <br />tw- > > <br />~ DELfV[AFD <br />N pC ~ <br />~ H sxDW m wxaA. wR. 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