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Prnt Clearly) ~ R. Dale of <br />n <br />r <br />r <br />7 <br />] Postage $ +3 <br />] CeniGed Fea <br />a1IJ <br />g Return Receipt Fee <br />(Endo ,emenl Re <br />W ' I C,\ <br />' g <br />red~ i.JV <br />1 Roslrined Delivery Fee <br />t (Endosemem Required) _ <br />Total Postage 8 Fees I ,$ ~r () <br />SFQ <br />l <br />P H <br />_r <br /> to <br /> ^ Agent ~ <br /> ^ Atltlressee ~ <br />ra <br />ress tliHerent fmm item 1 ? ^ Yes <br />~ Postage $ <br />lelivery atldress below: ^ No M1 <br /> ~ Ce,liLetl Fee <br /> ~, <br /> Return ReceiPl Fee <br />m Regnmetli <br /> (Endorseme <br /> OO Reshicled Delmery Fee <br /> O (Endorsement Regmredi <br /> Total Postage 8 Fees <br />^ Express Mail <br />flail O <br />~~ <br />tl YJ Return Receipt for Merchandise N N me (Please Prlnf Clearly <br />(ait ^ C.O.D. m U L <br />GU!-F. 1..... <br />elivery? (Extra Fee) ^ Yes ~. <br />- Sweep Apr. No.: or Po so, <br />c <br />~ <br />~ <br />F <br />4 <br />s <br />l <br />~~ ~ o <br />> CO> _ <br />~5 <br />bp -~ <br />o p( <br />~ <br />~~ <br /><y... <br />~r. <br />.. <br />v <br />tlrY~Ts'N~- X1,1=t~~ <br />o i :,, <br /> 102595-99-M-1]09 PS Form ,July 1999 <br />--.. --_- ~ -_ r <br />Domestic Return Receipt <br />er from item 1? ^ Yes <br />address below: ^ No <br />I ^ fxpress Mail <br />Rewrn Receipt for Merchandis <br />^ C.O.D. <br />ery? (Extra Fee) ^ Yes <br />~~b S~S~~~~ 1~8I <br /> 102595-99~M~t]8~ <br /> <br />• lease Print Clearly) B. Date of Delivery I • . r : • 1 . lease Print Cleary) 8. Date of Deliver <br />9-i `~ brr 4-i~-I <br />a ~ <br />U Agent ~ 1 V~'Agent <br />~ Atltlressee I ~ ly,a,y~~j.~.-~,~~. ^ Addresse <br />ess diRerent fmm item 17 Yes ~..1 ~ C' 0 (y'(~ less tliHerent m item 1? ~ Yes <br />Posl,vge ¢ \ <br />~ postage $ ' G~ Bugs .elivery address below: ^ No N ~~ ~ v~ lelivery atldress below: ~ No <br />Certified Fes ~. ~ Q / ~ Ceddied Fee Cl x ~ o ~ J~• <br />Return Receipt Fee / r U- ~t~k Realm Receipt Fee ~ r 50 •S u,,g` <br />~ (Entlorsemem Regmretl) `~/ I ~ R~rq t~~~ ~ ~ (Endorsement Required) ~ rTtJ <br />] Reslncletl pelivery Fee V V Q p Resincted Delivery Fee ~ L ' eGJ <br />] (Entlnrsemenl Regmmtli ~ 1 J~ ~ (Endorsement Required) ~~rj <br />Total Postage fl Fees d' Total Postage a Fees ~ ~~ ~, ~- <br />] $ 3t ~~ ~ tail ^ Express Mail O ail ^ Express Matl <br />~ Name (Please Prlnr Clearly) (To be comp/erect by matter) eturn Receipt for Merchandise fl.l Name (Please Prlnl Clear) J (TO be complefetl by mailer) <br />ru Y $g Return Receipt for Merchandis <br />-r - GR-~~ tit ^ c.o.D. m ,+(e~.~~1 ~,pN a ^ c.o.D. <br />Win? or gtak ~' Sneer, ADI. No.: or POS~~Jf1T~............ --- - ... ~~ - <br />S(reer, Apr. No.; or PO BOx No. ............................................ livery? (Exile Feel ^ Ves p- I n>~ n `~ '#~ _ ivery? (Extra Fee) ^ Yes <br />1 CIrY, Stara ZIP. 1 .. ........................... _........-........... _„ 1 O Clrg Srere. ZIP. .........-...--.......... t-v U /G (J <br />o ~ ~.~~ Co . 804b~ ~ S UX ~ o ~ M1 r ~+ ~ s P~ , s c.~ ~'~'87 ~~ ~ y~ <br />:t, ... ~ :.r ... , . <br />P orm 102595~99~M~na9 YS; orm Uy ~ omestic eturn eceipt 102595-99~M-I )0: <br />