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0 <br />~ qS~°ca~ ~ ~~ <br />~ Z 4 3 4 Fy 1 7 v"-~~.C" <br />~ US Postal Servicel~e * ~_ "'~ <br />~'' Receipt for Certitl <br />W No Insurance Coverage Provided. <br />C!? Do not use for International Mail See reverse <br />(D <br />7 <br />w <br />1 <br /> <br /> Sent to C 5 IKP NS ~rt <br /> (o <br /> treat 8 Nur2ber ~G <br />~o d <br /> Post Office, State, 8 ZIP Cada <br /> <br />~ p <br />A7rEYSPfi CO .O l <br /> Postage <br />, Certified Fee f (~-O <br />0 Spedal Delivery Fee <br />C Restrided Delivery Fee <br />A <br />~ Relum Receipt 5 <br /> Whom 8 Date <br /> fleNm flpceipl DM Ia <br /> Dale.6 Address e's 'dress m <br /> 707AL Poste ees <br /> Posenark or Da 6' <br />eraoe <br />0 <br />LL <br /> <br />rn <br />a ~ <br />t\ <br />v <br /> <br /> <br />C• <br />O <br />V <br />n <br />i <br />P <br />c <br />0 <br />v <br />a <br />0 <br />u <br />y <br />N <br />W <br />0 <br />0 <br />a <br />w <br />5 <br />T <br />0 <br />eComplate items 1 endor 2/or edtlib'onN aervicae. i aiSO Wish t0 IeCBIVB thB <br />•COmplela items 3, qe, entl 4b. fOIIOWIng SBNiCBS (IOr an <br />~e end eddreee on the reverse of this hrtn so Ihel we can return this <br />• <br />t <br />a B%tra 10B): <br />urtl <br />yau. <br />o ai <br />^ Atlech Nia lomi to the front of the meilpiece, or on the beck if space does nd 7 <br />^ Addressee's Address -° <br />permit. , d <br />~ Wdte'Retum Receipt Requested' on the mailpiaca below the amide number Q, ~ RBStdC[Bd DBlivery ar <br />The Return Receipt will ehaw to wham the eM1lde wee delivered end the date <br />~ <br />tleliverea. Consult postmaster for fee <br />Mo:~n"~"ciN lok( Co. <br />P~ a ~3~X sir <br />,SOVYiPfS~t ~o $ lY3y <br />4'ffN' `~trr5~a~'7o~INS(a.~ <br />PS Forth 3811, December 1994 <br /> .~ <br />4a. ArGCIe Number a; <br /> <br /> <br />4b. Service Type <br />' <br /> <br />^ Registered ^ Certilied m <br />s <br /> <br />^ Express Mail ^ Insured m <br />5 <br />^ Return Receipt for Merchantlise ^ COD <br />7. Date of Delivery <br />ns..' _t > <br />B. Addressee's dre .(Only' u tad <br />and lee is psi) }~ '' ' <br />T `,' ~ <br />m <br />F <br />~ <br /> <br />