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Fort ' ~ ~ ~ r '.' - r' z I <br />sY.ntueoi: <br />• CarrplMe 4ema 1 snd/or ]for additional services. I 9190 wish t0 receive the <br />• Cornpleteiieme 3, end be 8 D. f0110wing 9ervICe9 (for en 0z[re <br />• Print your name end etldrese on the raveree of this loan so that we can fe91' <br />retu7 this card to you. <br />• Attach this loan to the front of the mailpiece, or on the beck i} apace 1. ^ Addre9Se0~9 Address <br />does not permit. <br />• Write"RaNm Receipt Reauastad"on the mailpiece !blow the article number. 2 ^ Restricted D91Very <br />• The Ra[um Receipt Fes will provide you the signature al the person delivers <br />to end the date of dellverv. COn9ult D09tm89ter fur fee. <br />to: <br />Mr. Vance Mills <br />HC-81 P.O. Box 6 <br />Barbourville, CO 40906 <br />4a. Article Number <br />P s~ 6 f7o 9a ~ <br />4b. Service Type <br />^ Registered ^ Insured <br />~ Certified ^ COD <br />^ Express Mail ^ Return Receipt far <br />Z~ <br />and fee is paid) <br />6. Signature (Agent) <br />PS Form ,November 1990 sus. cPO: Lg9f-aetaaa DIIiIf~S y (~ ~r y ~~Po (:~c~`rr <br />JJD C-81-048 <br />atsv62-a~ P 860 170 922 <br />~ ~Cer¢i4ied Aflail Fieceip4 <br />No Insurance Coverage Provided <br />o Do not use for International Mail <br />--` i a (See Reverse) <br />Its <br />m <br /> Sant b <br /> Mr. Vance Mills <br /> <br /> Stmt a No. <br /> HC-81, P.O. Box 6 <br /> Ro.. store a zIP coda <br /> Barbourville KY 40906 <br /> Posbgs <br /> Cenibad Fee <br /> <br /> Special ry Fee <br /> R cb eliva~Fea <br />~' c <br /> <br /> <br />rn R <br />b urn ero~ i g <br />b eve <br />(n <br /> <br />7~ Rar sip owi to om, <br />Deb <br /> , <br />TOTAL Po <br /> <br />ID e <br />a Fees <br /> Poslmant or Dele ,- <br />~ <br />y <br /> . / .~ <br /> <br /> <br />a ~ <br />~''~ <br />~ <br />w <br />~ <br />~ <br />N <br />~ <br />Q <br />(D <br />7 <br />C <br />CD <br />~ <br />C <br />O <br />4 <br />1T <br />