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" SENDER: <br /> <br />• Complete items 1 and/or Z for additional services. I also wish [o receive the <br />~ complete items 3, and M & n. -• . following services Ifor an extra <br />I ~ • Print your name and edtlrese oil"ihe reveree_ of this form <br />~ sot het we can " dBa): <br />•Y •t <br />m return this certl to yau. <br />• Attach this form [o the Fran[ of the merlpiace, a orft <br />e beck it kpece t. ^ Addressee's Address y <br />~ <br />does not permit. - <br />" } <br />Return Receipt Requestatl"onthe meilpisce below t <br />~ Y • Write he article number. . y ^ Restricted Delivery m <br />• The Return Receipt will chow to whom [he article was deliveretl end the date <br />" <br />- V <br />c delweree. ~ <br />^~ •~ ~ • • Consult ostmaster for fee. o <br />`9° 3. Article Addressed to: - 43. Article Number ~ <br />m P 179 166 174 ~ <br />n AMERICAN SHIELD COAL CO 4b. Service Type <br />0 10830 N CENTRAL EYPRESSWAY ^ Registered ^ Insures <br />rn SUITE 175 ®Certi}ied ^ COD 5 <br />w <br />DALLAS TX 75231 ^ Ex ress Mad ^ Return Receipt for <br />p ~ <br />¢ Merchandise <br />r <br />~ 7. Date of Delivery <br />a .C ~ <br />0 <br />z <br />¢ <br />5. Sig ( d sseel > <br />B. Addres se's dress 1 ly if requested ~ <br /> and fee is paid) ~ <br />t <br />¢ 6. Sig eture (Agent f' <br />0 <br />~ V <br />PS Form '3 11, December 7991 a u.s.o.P.o.: tsszao~-sso DOMESTIC RETURN RECEIPT <br />