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iii iiniiiinii~ ~~~ <br />ail <br />kcCEIPT <br />Received From <br />r,,`~ <br />19~ No, t , ., <br />a <br />a <br />CASN <br />AMT YAie <br />Mars <br />A. <br />~ <br />I Nso v ~ ~ Co r0ceiv6 the <br />jf • CangYb itNne t rMlo <br />rt Mdltlonet Nrripe. <br />• Caropteee tt•rne a, mtl.ve. foNowing t~~ces tfor an extra e <br />• IrMh Yat- nerM en0 Mdreee pn 1M reverN of Mle lean w ttW we can <br />Mw <br />A <br />feel: <br />rWm <br />nr <br />M Yee. ' <br />• Attach foie torn ro Me tmnt pf Me mtMPlw. av Bn tlr Yeek N epaw t. ^ Addressee <br />s Address y <br />m does not permit. <br />• Wfite"Ratorn Receipt Requested"onihe meilpiece below the a rticle number' 2. ^ RBS[riCted Delivery C <br />o <br />• The Return Receipt will showto whom the anide was delivered and Me date <br />c eeliverea. Consult postmaster for fee. o <br />0 4 A <br />rt <br />le Nu <br />ar <br />ic <br />b <br />' ~ <br /> ^^ <br />~~ <br />~~ <br />~ <br />''~ <br />J ~ <br />T <br />~ <br />m d"1~ I.YO <br />GV'T ~ <br />~ 4b, Service Type ~ <br />~ egistered ~ Insured <br />R <br />^ <br /> <br />y ~,, <br />er~ <br />~ <br />L4'Certified ^ COD ~ <br />5 <br />tyir <br />~ ^ Express Mail ^ Return Receipt for <br />Merchandise ~ <br /> c <br />C 7. Date Deli ry »- <br /> ~?i~ . GUC1/~ / o <br /> 5. Signature (Add sseel 8. Addressee's Address Only it requested u <br />~ x and fee is paid) m <br />r r <br />~ 6. Signature (Agent) F" <br /> <br />n. <br />m g <br />'q - <br />• Complete items 1 antllc v atltlitianal services. <br />m • Complete items 3, and b. I eloo ~ ~ ti t0 roC&vB the <br />~ • Print your name and addre s on the reverse at this form so rhar we can tOlfowing micas (for an extra <br />~ ratwn this card to you. fee); Y <br /> <br />ip Attach this /orm to iha front of the mailpiece, or on the back <br />tloes not perm'd <br />it space 1. ^ Addressee's Address ~ <br />o <br />~ <br />. <br />V • Write"Return geceipt Requested"an the mail0ie<e below the artid9 number. <br />• The Return Receipt will ahowrowhom the anide was delivered and the date 2. ^Restricted Delivery <br />tl <br />L y <br />p <br />.d <br />e <br />Vered. <br />D <br />0 3. Article Addressed to: Consult Ostmastef for fee. <br />4a. Article Number H <br />~ <br />a <br />1' / ^Y~ <br />my~ ~,~" f / C~~ <br />c ~' <br />/J <br />11 1! 1 r <br />( <br />4b. Service Type <br />^ Registered ^ I <br />d <br />~ <br />~ <br />l~ <br />~~ty~wryyyr <br />I 1 /iy+r `'/ll C <br />ry <br />/`~"f`t <br />W nsure <br />~rtified ^ COD e <br /> <br />~ <br />~ N <br />pp (/ <br />t jt~^ ^ Express Mail ^ Return Receipt for ~ <br />~ <br />~ <br />p Lj t~(~ Merchandise <br />Q ~ 7. Date of Delivery Q <br />shr ,~ <br /> <br />~ 5. Signature•(A dressee) <br />' _ <br />8. Addressee's ddress { my if requested <br />~ S <br />a and fee is paid) <br />= 6. Signature (A nt) <br />7 ~ <br /> <br />