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9 <br />N <br />T <br />O <br />3 <br />r <br />r <br />[: <br />m <br />W <br />O <br />O <br />3 <br />m <br />N <br />H <br />n <br />a <br />m <br />c <br />s <br />z <br />x <br />n <br />m <br />1 <br />• SENDER: Complete items 1, 2, 3 and 4. <br />Put your atltlress in the "RETV RN TO" space On the <br />reverse sitle. Failure to tlo this will prevent this tertl from <br />befog returned 10 you. The r<turn r<Ceipr tea will provitle <br />you the name 01 the person tl¢liveretl t0 entl [he tlate of <br />delivery. Far additional lees the following services era <br />available. Consult postmasser for fees and check bpxlesl <br />for service(s) requestotl. <br />1 Show to whom, date end atltlress of delivery. <br />Z. ^ Resvicted Deivery. <br />3. Article AddreYed to: <br />mr . Qay n~trr~ lJ;1cy <br />Y~W..Cricav,,, Fu.ciS , SnG <br />p,p, ~ 5il <br />I~ u.; far t Ce. 810a.Q <br />4. Type of Service: Article Number <br />Registered ^ Insured p (prJa (O~~ X36 <br />Certified ^ COD <br />Express Mail <br />Always ohtain s~gnalure of addressee or agent and <br />DATE DELIVERED. <br />5. Si tore - Adtlresse <br />X ~ <br />6. Signature Agent <br />]( <br />Date OI Delivery <br />8. Addressee's Address (ONLYifreques[e a ee Pa <br />r <br />~~ Ntw Pryor <br />o ~ C-03l-gl <br />~',~ P 652 676 135 <br />o <br />pO RECEIPT FOR CERTIFIED MAIL <br />~ NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />.,ij (See Reverse) <br />'^ Sent to mCv~p). W;Ity <br />ph F <l 'Lkc <br />{ Street and o.- <br />~~ ~o' ill <br />c'6' P.O., Stet entl ZIP Code rr~- <br />~u L~(~0.l' W. <br />~y Postape : <br />~- • Certille0 Fee <br />Special Dallvery Fae <br />d Restrlctfrd Dallvery Fee <br />Return Receipt Showing <br />to whom and Date Delivered <br />~ ~ Retum receipt showing to whdlTr; ' V <br />ty.~ ~ Date, and Address of DigNgly~ <br />m : TOTAL Postape ~n ,PBas s <br />LL A <br />9 ~ U'i°.. ~ ~r• <br />N <br />o. <br />