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<br />~ .,lL 192 124 h0U $' <br />o US Postal Service <br />~ Receip4 for Cer¢ified Mail <br />o No Insurance Coverage Prdvitled. <br />~ Do rtotuse for Intemetional Mail See revs <br />Sa <br />~, : rv an. <br />_' ~ t111~mber ~ y8 <br />Q Post 0lfi ,BZIP o ~O~G,.. <br />N Postage $ ~.. <br />E I;ertified Pee 4`~'< <br />sbeaal oellyery Pee <br />R <br />F Restricted ~Y Fee <br />~' <br />$[iVDcR: I also wish to receive the <br />o Complete Gems i andror 21or additional services folldwin services for an <br />9 ( <br />o Complete items 3. ~a, and 40 <br />o Pnnl yom name and address on the reverse of Ihis form so P , we can return this extra lee): <br />cartl to you. ` <br />v Attach Ihis loan [o the hoot of the mailpiece, or on Ibe back d space dd¢5 not <br />1. ^ Addressee's Address ~ <br />e Wnte t'H¢lurn Recetpi Requesred'on the mailpiece below the an¢le number. 2. ^ ResldCted Delivery W <br />o The Return Receipt will show to wt~cm the adicie was delrv¢red and the date Wt <br />l <br />f <br />t <br />C <br />t <br />tlelivered onS <br />mas <br />or <br />os <br />er <br />ee. <br />P o <br /> <br />3 Article Addressed to' <br />4a Article Number • ~ _ <br />°' <br />Kerr Coo I Cvn<-P~n-~ Z I~r~ ley Lv00 <br />4b. Service Type 2 <br />~/p v <br />1 ~ aQ ~ `+0 7 ^ Registered ^ Certilied ~ <br />ff I !/~ /~1 ~4~ ^ Expres , C~\ ^ Insured ~ <br />~.I Cte,l~ W ^ RetydSc~dd~lse ^ COD ~ <br />7. D~e~Y Delivery ~ `D ~ o` <br />~ o <br />5. Received 8y: (Print Name) 8. /t'ddrt;sse 's dtlres5 (, ly it requested x <br />and (tie Is paid) / ~ <br />6. ~ nalur : (Address o~r~Ay~g~nt) <br />PS F6(m 3811, December 194 102595~9BB~0229 Domestic Return Receipt <br />