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•SENDE R: Complete items 1 and 2 when etlditlonel cervicec are dashed, antl compleTa Items 3 <br />end 4. <br />Put your etldress In the "RETURN TO" Space on the reverse sltla. Failure to tlo this will prevent this <br />cartl from baln9 returned tP you. Tha raxurn recelo[ tae wlll provltlel~eu the name Qf ;h»~~on <br />to whom <br />AI'tl Cle Atltlressatl to: <br />/N,^, T¢ch/ Q v ~ H h <br />~aX /~ ~ <br />Lt~nn(~/v~ /~us',~ Go <br />edtlresc. <br />Always obtain signature of addl9ssee <br />or agent end DATE DELIVERED. <br />G[V!C MUUfC CO <br />x~- t <br />6 S gnature -Agent <br />X <br />7. Date of Delivery <br />5 Form 3811, Mar. T981 <br />O <br />a <br />a <br />C <br />C <br />N <br />E <br />IS <br />a <br />• U.S.G.P,O. 1987-/7e-268 <br />t <br />U a CJ <br />.. . <br />^ Reg)tered ^ Insured <br />rtr gd ^ COD ' <br />^ Express Mail ~- <br />DOMESTIC RETURN RECEIPT <br />~G 5 ;y- 9/- i-Y 7 <br />P 666 580 038 <br />Certified Mail Receipt <br />No V¢surancg~Coverage Provided <br />Do not use for International Mail <br />~~ (See Reverse) <br />rw,. rer,u <br />Sam rp <br />Street 8 No. ,.] <br /> <br /> <br />a~~ b <br />Pomage di <br />vP ~ <br />Cenilied Fee <br />.+ <br />' <br />F <br />ee ~ /~ <br />Sped ~ <br />C <br />pp <br />~e <br />~ <br />R ;qqy <br />~ ~s I <br />~~ <br />' <br />1 `~ <br />C) ~ .r <br />r <br />• <br />R JARe~ iqy ' <br />,F ~i <br />Ip rv.p,e bale oelivere0 <br />RBlurb. Bceipl Showing lo'lh / <br />Oata. 876dress of DBlwery <br />TGrAt POSt~py`,': 1 <br />L <br />e Fees ~ Y`9b` <br />-.. <br />Postmark or ~le ~ <br />s <br />1' ~ <br />i <br />I <br />I , '~ 1 <br />I ~ , <br />~..~,,:y. - - -- - ~ <br />