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<br />d SENDER: <br />na .Comdata items 1 ardor 21or additional eerNCe•. <br />'o • Complete items 3, Ia, end 4D. <br />O •PrIM your name eritl etltlress on the reverse of Ihia loan so dfat we tan return INa <br />card to you. <br />~ •Aaazh ItPa farm to the hart W IIM mailpiace, or on the betlc it space does nd <br />permit. <br />~ • Write'Relum Receipt Requested' on the mailpiete below the adiGe number. <br />.The Return Receipt rill show to whom die editla was delivered entl the data <br />~ delivered. <br />0 <br />3. Article Addressed to: <br />a~ 1'19ha ~~~~~- <br />~ f 4 c~ S Izc~.d~ <br />~Gl. ~Q jc.~C%C'7a , W <br />. 5. Received By: (Pdnt Name) <br />~~ <br />I also wish to receive the ' <br />toNowing services (tor an <br />extra fee): <br />1. ^ Addressee's Addr <br />2. ^ Restricted Delive <br />Consult postmaster for fe <br />~~~ <br />SE - ^ Registeretlr <br />a.~ ~ ^ Express M~ <br />0..~.~. O..~L.Li <br />7~ <br />and lee is paid) <br />~ 6. Signature: (Addressee orAger <br />X 12r 9-~= <br />PS Form 4871. December 1994 <br />M <br />C'.7 <br />O <br />w <br />U <br />67 <br />C <br />N <br />N <br />E <br />Q <br />C <br />N <br />E~ <br />~~ <br />~z <br />~$ <br />T <br />M <br />ST <br />L ~ <br />~a <br />- P 076 556 63.y p/ - <br />US Postal Service si~• ) <br />Receipt for Ca~riif~~,~I~ ( ~ <br />No Insurance Cove d63` <br />Do not use for Intemabonel Mail /See reverse) <br />Sent to ,{~~ <br />(ti k>` Z V r~ <br />Street 8 Number <br />Q~~ <br />/ <br />{~ lLlJffice. Sate; 8 DP Cade'--CJ ~ a' ~-1' <br />Postage s <br />Cerufietl Fee <br /> <br />SPedal DeIMry Fee p'~ <br />-w f <br />rp <br />> <br />Rmroitled Deive ee +C '. <br />Return Receipt B 2 <br />wtxan a Data oe <br />~~ mom. <br />lyab, 8 AdAaasee§ <br />TOTAL Postage 8 Fee <br />Posanerk ar Deb <br /> <br />e <br />ie <br />N <br />6 <br />'e <br />3¢ <br />-~ <br />e <br />ed ~ <br />ld .G <br />- S <br />_ ~ <br />1 C <br />r <br /> <br />