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b <br />fn <br />r <br />R <br />C <br />mn <br />W <br />SENDER: Complete items 1, 2, 3 and 4. <br />Put your etldress in the "RETURN TO" space on the <br />reverse side. Failure to tlo this will prevent this cartl from <br />being returnotl [O you. The return receipt faa will provitle <br />you the name of the person daliveretl to entl the date of <br />tlelivery. For etltlitionel fees [he following services are <br />available. Consult postmaster for lees and check box(es) <br />for 6arviCO(el r0gU 85led. <br />t. ~_~r'ow to whom, date entl address Oi tlelivery. <br />2. ^ Restricted Delivery. <br />3. Article Atldressad io: <br /> <br /> <br /> <br />(. ~ (r G c•: Cry J n • !.! ~. ,f ' y r•' _,~. <br />I ~, is L~_1 ,, ~ r. r~r. ' ? -~ <br />4. Type o1 Service: Article Number <br />^ Registered ^ Insured j.~y L C~ `l ~ •~~ <br />~.}Eertified ^ COD <br />U Express Mail <br />C,Iways obtain signature of addressee 4r agent and <br />DATE DELIVERED. <br />5. azure - Ad a <br />7 /.~ <br />. $ipnature -Agent <br />X <br />7. Date of pg~ivery <br />7 <br />,, ~ <br /> <br />e. Andress 's Address (O LY If requested and jee paid/ <br />P <br />V <br />O <br />'_ <br />S <br />m <br />C <br />S <br />x <br />R <br />f <br />R <br />t <br />P 466 982 053 <br />ti0 ~nGUPAY.DE COYEPAGE PPOVIOED <br />~ NOi FOP IIIIEPeAT DtIA• :'All <br />,_ oe _n ~`~ Reversal <br />V <br />~ <br />Sent to ~QQQ,~y, <br />d ~ <br /> <br /> <br />m Sveel and No <br />~ <br /> . <br /> <br />O P O. Slate and ZIP 1 <br />ti <br />~ Postage <br />n! <br /> <br />7 <br />1 <br />'' Cenif~ed Fee <br />Space) Delnery Fee <br />Reslr¢ted Delivery Fee <br />Return Rec¢iDl showing <br />to whom entl Dale De'wen <br />~ ~i--~~ <br />O Return Receigano~~ w'iM <br />m <br />Dale and Address ~ <br />d ~ <br />j TOTAL P 41ag an0~~e5 <br />~ -. <br />Poslmdrk rp '¢ 'y~r~ <br />n <br />E ~~ <br />0 <br />1•. _ _ <br />N <br />r. I <br />S <br />~. ~ <br />-] <br />7 <br />J <br />"y ~ <br />-- <br />Is <br />/ - -- O <br />IW <br /> <br /> <br />