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P 31r7 8p8..29~C -~ <br />Receipt for~c•'43. /"~ <br />Certified Mail ~6 <br />® No Insurance Coverage Provided /~ <br />,«,~y~; Do not use for International Mail II . J <br />ISee Reversal Yr <br />5Cn1 10 1 <br />P1~~ a, d ~ <br />Soeel a Np (Q <br />. ~. <br />P O , $ ale antl ZIP Cotle <br />~ S 13 <br />Postage <br />Cerbrietl Fie <br />Spenal OeLVarv Fee <br />Reslnnetl Debverv Fee ~ <br />0o Fermn flece~Dr Snowing <br />m to venom 8 Dare Delwe,etl t. <br />Pewrn PeceiDr Showing to Wnom. ~ <br />~ Dale. antl gtltlressee's gptlrass ~ <br />~ iOigL Povagc ~ <br />~ E Fees <br />O PoSrmark or Date C <br />~~ QC <br />o nC <br />N <br />a fj <br />"SENDER: <br />Compote items t end/or Z for etlditlonel services. 1 also wish to receive the <br />~ Compote items 3, end 4e a b. <br />I following services (for en extra Y <br />~ Print your name end etldreea on tM reverse of this Iprm eo that we can <br />return this card to you fBel: t <br />. <br />i <br />~ • Attach thin form to the front of the meilpiece, or on the beck if apace <br />1. ^ AddrBaaBB'e AddrB39 C <br />y <br />~ does not permit. <br />w <br />C . Wri[a "Return ReceiptRequested"on the meilpiece below tM article number. <br />2. ^ Restricted Delivery S <br />•m <br />• The Return Recarpt will show to wham the erticb wee delivered e nd the data fa <br />delivered. - <br />C COnaUt OatmBeter }Or fee. O <br />O <br />9 3. Article Addressed to: 4a. Arti cle umber <br />o > <br />$ f <br />6~~ COa ~ CO ~ 3 ~. ,2 E <br />m <br />j b Service Type ~ <br />/1 <br />u P~ ~~ ~ l-(~ <br />{ <br />7 Registered ^ Insuretl m <br />y <br />w 1 <br />c <br />!/ <br />s ©m <br />~l~"r <br />r 5 <br />{' ~6 ^ Certified ^ COD <br />^ Return Receipt Tor <br />^ .G <br />~ <br /> ~ <br />g <br />r <br />e Express Meil <br />G / Merchandise <br />f <br />~ 7. Da of Delivery <br />a y <br />i ~ l~ .1 <br /> 5. Signature IAddresseel 8. Addressee's Address (Only if requested Y <br />~ end fee is paid) ~ <br /> <br />~ 6. Sig a (Agen ~ <br />o <br />T <br />,s orm 7, December t99t • V.S.G.O.O.:1sG2.'fo7-SS0 DOMESTIC RETURN RECEIPT <br />