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<br />n~N~f E~ <br />ptFIG <br />~~ ~~~~ ~ ~" y, l <br />~i - q I ~U ~'0) <br />N <br />wl v I,n/ E~~ 6'(i~cV v~ ri ~' <br />Q <br />O <br />O <br />0 ~ <br />w <br />a <br />i <br />Z 358 016 p84 <br />US Poslal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do nol use for International Mail r.Sww rwvwrcwl <br />Sent to I .1 <br />Wt W [7'tic <br />_C~~ ~AA/~ <br />Slreel8 Number <br />Z~~ '~ <br />Post OHt IP Cade pp. <br />~ Lied <br />Post N'' $ `, <br />Car4fie ~ ee <br />+ <br />Sp~dal Dellve <br />RestrMed Delivery Fea <br />Return RGC~ipt Shy01E <br />Wham 8 Dat f <br />Realm Recepl Stgwiy~olNioin, <br />Oale, 6 Pddressrei Aderess <br />TOTAL PesYage d Fees $ % r 64r <br />Postmark or Date <br />_ I <br />SENDER: I also wAah to receive the <br />• Complete Nenu 7 endor 2 br etldldorW earvk..ee. <br />• Complete Xanu 3, 48, arM 46. tOIIOYdn aBIVICBS t0r en <br />9 ( I <br />• Pdnl your name end eddrvu on IM revsrae of Ihb form w met we ran realm ihb B%Ira fe9): <br />uid b you. <br />• AIInU1 Nu lone b Ns front of the mallplece, or on VVU badr M epees dose rot 8 <br />1 • ^ AddrBSaee'e Addre59 <br />l <br />ppaamrtn~It. <br />. W dte 'Rehm Rers/pr Requested en the mellplaoe below the ertlUe nurMer. ~ <br />2. ^ Restricted Delivery <br />• TM Relum Receipt wAl show b whom the erurJe was delivered end Ne date <br />aelwerea. <br />Consult postrnaster for fee. g <br />Article Addressed to: <br />~C'a w: (~ v~ i= <br />l2zs s ~~+ it <br />1~cza-~v ,jvuc-'r-co,v ~ biro( <br />X <br />4a. Ariicle Number <br />~ 3S8 oiE o84- <br /> <br />4b. Service Type e <br />^ Registered ~CeNfled <br />^ Express Mail ^ Insured ~ <br />~Retum Receipt for Merdtandlse ^ COD <br />7. D t Delive (~~J <br />/ ~-~ S <br /> <br />B. Addressee's Address (Onty i! requested Y <br />end tee is paid) <br />PS Form 3811, December 199~~ +ouasgasonv Domestic Return <br />