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SENDER: <br />t • Complete itemu 1 enNOr 2 br addltbnel nervbae. <br />i • Complete Hems 3, 49, end db. I also wish to receive the <br />10110 Wln services f <br />g (O! an <br />• Pdnt your name end eddreaa on the reverse of ihie lone eo Net we can realm thla <br />raid to you <br />I • Ate this lOmn to me front or the mellplece, or an the beck II apace does not Bxtra fee): <br /> <br />1. O Addressee's Address <br />i parmiL <br />r • W rite -Aetum Aece/pl Requesfed'on me mellplece below the eNtle number. <br />2. ~ RestflC[ed Delivery Z <br />• The Rehm Receipt will show to whom the ertirJe was 6ellveratl end the data <br />delivered. <br />Consult postmaster for fee. <br />g <br />i 3. Artice Addressed to: 4a. Article N umber <br />fie; <br />$ <br />fh b o00 ~~o ooos ~ <br />~ <br />erZ 4 <br />T <br />~ b. Service <br />ype ~ <br />` /1.1 ~„~~} ~~ ~ G ~_ S ~('r. <br />JDyI <br />!l~~77 WUC~f ^ Registered ^ Certified <br />1 <br />0 <br />1 <br />r <br />oj~ ~(j <br />~{~ <br />~ ^ Express Mell ^ Insured <br />^ Retum Recei <br />t for Merchandise ^ COD ~ <br />~ <br />1 <br />j <br />,f (,,, <br />F <br />'7 <br />l-` <br />' p <br />~~ I ~~t <br />QU <br />~ <br />O <br />A gom~o 7. Date of Delivery <br /> ~ <br />5. Received By: (Pont Neme) 8. Addressee's Address (Onty ll requested Y <br /> and lee is paitl) <br />I 6. S;gnatur . d25see grggenfJ / / <br />Ps F4ht ~flp, p;camber tssa tozsas-ee-awe Domestic Return Receipt ' <br /> <br />~ OMG-1313 Sherman <br /> r <br />,~ Postage $ <br /> <br />Lrl <br />~ Cerl~led Fe9 <br />C~ POSlmark <br /> <br />~ Return Receipt Fee <br />IEndOrsement Required) d Here <br />Q <br />~ <br />~ Restricted Delivery Fee <br />tEndorsemem Requnetl7 y P <br />Y, 'S <br />O <br />~ <br /> <br />p <br />Total Postage 8 Feee ~ <br />~'0 <br />r <br /> S - <br />O <br />v Street. Apt. NO ' / PO box No. <br />-1.151.1-----.1~..+SkfT?m..--. <br />E~..-G ...:.........~~------~------~--~--~-----.... <br />p <br />r C~~vY~~State,ZlP~d ~^ <br />l-h/n [~ PD SlLYI N 8ob~f~ <br />