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• a e t enayer 11or additional services. <br />•d ~, wrlM~b. <br />;,• Pdnt yper nMne end address on tha reverse of this corm so that we can <br />nlWe this cer4 b vou. <br />• AWrdr NV ~ to tha front of the mailpiece, or On the beck it space <br />Z OOee not pwtMl. <br />777Y Wrhe'fhWmflaceipt FeQUestetl"onlhe meilpiece below the article number <br />O • The Realm Receipt will show to wham the article was deliverad and the Cate <br />G CeliylrM. <br />3. Article Addressed to: 4 Art <br />g~r~~~ ~e~~grs co c~ <br />`'.r Sal <br />s 2~oG-Y4~~~ o ~ oF~ Regi <br />D.Q M J •2`~ ~ C~ .Date <br />I also wish to receive the <br />following services (for en extra 52 <br />fee): a <br />t. ^ Addressee's~ddress y <br />2. ^ Restricted f~llvery •m <br />Consult postmaster fgF fee. io <br />le umher <br />' <br />14~ <br />~~ 5 as- <br /> <br />ce Type ~ <br />er@d ^ Insured ~. <br />ed ^ COD .~ <br />>s Mail ^ Return Receipt for ~ <br />Merchandise <br /> <br />>f Delivery e <br />w <br /> 0 <br />T <br />ssee's Address (Only if requested Y <br />and tee is paid) ~ <br />t <br />F <br /> <br />U <br />P) <br />7 <br />;=m <br />'OJ m <br />v! ~ <br />C <br />~_ ~ <br />~0 <br />//rr0 <br />M <br />V~ <br />S E <br />o <br />L LL <br />a <br />P 296 525 742 ~-P~~ <br />Receipt for W'jq ~~~ <br />Certified Mail <br />~ No Insurance Coverage Provitled <br />~~• ,<M~ Do not use for International Mail <br />ISee Reversal <br />s~- <br />U <br />~- <br />Q <br />`P' ' a 7 <br />P,. 5,ar ..,,.P.: ~ <br />0 a a <br />Po+iane <br />n~~rrra rrr~ <br />5oene. <br />Peeve en .may <br />s. ,g <br />fly' rn Pfr ~^ <br />D.nr y..] P.1N....rr 40.]rr ~ <br />'O'A, Poesy. <br />E [res <br />S <br />Poslma~~. o~ Da'e <br />