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<br /> <br /> <br />,ate of Service____April_27_ 1~1 _ <br />person S?rv~d ** <br />---------------------------------- <br />(Plea;? print Wane and title) <br /> <br />`+I^;EJ LAND RECL~,MaTIO"r ~IVISIOty <br />~ C <br />(authorized rep entative) <br />SianaC.lre------------------------- --MiS.b ae~ySs_~~VS1P.!<__~~flm3CJ~DD_SAPd'.j.dlist <br />(a?rsdn sere?d) (game and title - please print) <br />f~N~OiE L~,VT: PLEASE 4Ea0 THE REVERSc SIDE OF THIS P4GE. <br />LO/79 L.Q.S. 1973. 34-33-123 <br />** Service by certified mail 111401522 <br />