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e SENDER: <br />v_ •Compate ilema t arxYor 2 for addtdorW •vvin•. I also wish to receive Ute <br />n •Campl•le items 3, 1a, and Ib. (ONOwing 501viC05 ((Or B<1 ' <br />e •Pisa your name end addrM• ql Uu revraa of itw• foen b Ihal w pan rMUm dYa e%tra fe8t: <br /> A t <br />M <br /> <br />e • <br />ech t <br />sform totM boddrr mrlpi•ca,amtM beak <br />t tf ap~c•dow nd <br />1. ^ Addressee's Address <br />•Z <br /> <br />p p«r"' <br />• Write'Rdum Receipt pequested' on iM rriailpiec• INrow m• arlicl• number <br />' <br />2. ^ RBStricted DBIfVery ra <br />y <br />t •1 <br />he Return Receipt vAY show to whom Ine anic7a waa tlNiverad end the date <br />i deiivxed. Consult postmaster for fee. <br />i <br />a 3. Article Addressed to: 4a. Artice Number $ <br /> ~~~ <br />n ~ <br /> ~ db. Service Type <br />Y <br />~ ~ C HAC~T O Registered ^ Certified ~ <br /> ~ ~ 1132 <br /> ~ <br />FAiItPUY CO 8040 ^ Express MaG d Insured n <br />~ , ^ Return Reoeipt for Merchan6se COD ~ <br /> ~ <br /> 7. Date of eliv ry <br /> 0 <br />0 <br /> a. <br /> 5. Received By: (Print Name) e. Addresse s A ress (On quested e <br /> antl lee is paid) c <br /> t- <br />g 6. Signatur ddressee orAgeny <br />i, X <br />w <br />PS ~ 11. DeaerWer 1994 <br />Domestic Return Receipt <br />LL <br />y <br />a <br />v~ <br />Z 19 2 121 13 6 i'jQ 8,3~ <br />US Postal Service <br />Receipt for Certified Mail ~_ <br />No Insurance Coverage Provided. -_ <br />Do not use for tntemational Mail See reverse =- <br />r <br />Sent to L: <br />shed a JOHN C HAC~AN <br />FO t30X 1171 : <br />: <br />Poston FAIftPIAY CO BW~ <br />p .. <br />. <br /> ~ <br /> Postage L <br />5 Z' <br /> Certified Foe . <br />r ~ <br /> spedd oeli~ery e~j <br /> ~ <br /> ReshidedD ''~ ae ~' <br /> <br />~ <br />Rdum Receipt ~ pro ,\i <br />~' YYTwm a Ode ikGvard... <br />Q WIKVn, <br />SYom7 <br /> M0e5s <br />D~ <br />O TOTAL Podage 8 Fees S 2 ~, <br /> <br />~ Paslmadr or Dale <br /> <br />o r" <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />