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<br />SENDER: Complete items 1, 2, 3 and 4. <br />Put your etldress ,n the "R,'T.TDRN TO" space on the <br />reverse aide. Feilu ra to do [riffs wnl Drevent this card from <br />being returned to you. Tha return receipt lea w,ll provide <br />you the name C the pgreon delivered to and the date of <br />tlBlivpy. FOr additional IeH the fO110Wing services ere <br />available. Consult poftmafter for lees entl check bo.lesl <br />for servicelfl requested. <br />1. ~ $hOw to whom, date entl atltlrass OI delivery. <br />2. ^ Restricted Delivery. <br />J. Article Addressed to'. <br /> <br />~i2w IJ S`f 6 . ~~~y~ <br />2/2).S ~- /1 SZ <br />S4i ~ <br />t <br />0 .U~i <br />v <br />~~ . IOW <br />4. Type of $er ca: Article Number <br />^ Registered ^ Insured <br />Certified ^ coo <br />52 L'~~F3~3 <br />(0 <br />Express Mail , <br />Always ohtain signature of atklressee or agent and <br />DATE DELIVERED. <br />5. Signature - Addresses <br />X <br />6. Signet of Agent ( , <br /> <br />]. Data OI Delivery' <br /> <br />R. Aearaae a Ada.ess (ONLY i re a ^ <br />~ b <br />AS to~~ <br />T <br />O <br />3 <br />W <br />J <br />c <br />Y <br />QO <br />3 <br />N <br />'n <br />S <br />m <br />C <br />S <br />2 <br />S <br />n <br />m <br />A <br />M <br />O <br />ti <br />O <br />sd <br />Y <br />s <br />0 <br />1 <br />Y <br />f <br />Y <br />t_. a <br />P 65e; 674 373 <br />RECEIPT F3R CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />f- ~ (See Reverse) -~', 9 `/ <br />Sent to ~r\ru ~' e,01 }j <br />rest and o. <br />ZlZ l <br />P.O., State entl 21P Code ~O 16 <br />Postage s <br />Certllltd Fee <br />Special Dellvery Fee <br />Restricted Dellvery Fee <br />Return Receipt Showlnp <br />to whom and Dale DellreraQ <br />Relum receipt stloWlnnpp to wlprrt~ <br />Date, entl A~tldress or Dellvery <br />TOTAL Poslape and Feee S <br />i ~ '~~ <br />i Postmark or Date <br />r <br /> <br />j '.. •. <br />~ ' , <br />~ <br />rr _ _ <br />i <br />1 <br />s <br />V <br />N <br />