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Z 329 232 1~2 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for International Mail See reverse <br />Sent to <br />~ c(i O Q.. <br />StreelB Number (OQ <br />i C• <br />Post Offire, State, d ZIP °da CO l <br />u <br />Postage a - 33 <br />Caroged Pea ' , (7 <br />Spadel Delivery Fee <br />Restdded Delivery Fee <br />~ RBWm Reoapl Shoring to ^ v~-~ <br />un.,.,w x nmw nelivemd ~ • e~LJ <br />O TOTAL Postage 6 Fees a ~ , <br />.~. <br />,r postmark or Data <br />;= LL y-~,~-R9 <br />a <br />PU~LiC ~"PLC COPY <br />FILE: /u-94~o3g <br />SITE: f?axg~ Possyl-le rll~w( i <br />~~ECEIVE~ <br />>r AY 2 4 99~~+ <br />. of Minerah <br />SENDER: I also wish to receive the <br /> <br />w •Complela Hems 1 anNpr 2 for aooaional sernces. <br />• Complete hems 3. 4a, and 9b <br />IOIOWIng SBNICeS (ter an <br /> <br />, • Print your name antl atltlrees On the reverse 01 this farm so that <br />card to yyou. we can velum this extra fee): <br />4r <br />a • Attach this form to the iron) 01 the me~lp~ece. Or on the back it space does not t. ^ Addressee's Address .Y <br />0 •'Nnte t'RClum gece~ptflequesletl'on the maJpiece below me a NCle number. 2.^ Restricted DelVery <br /> • The Return Receipt vnll show to whom the addle was Oeliveretl <br />delivered and the date <br />Consult postmaster for fee. <br />a <br />0 3. Article Addressed to: 4a. Anicle Number <br />~ 3 t <br />n n <br />i7~ (~, Qf,~~' 4b. Service ype <br />I ~ <br /> ~00 <br />3 <br />o l <br />C /l f V ~r~Q <br />d <br />C ~ Certified <br />^ Registered ~ <br /> . <br />. <br />, <br />/ <br />. ^ Express Mail ^ Insured ~ <br /> C a Sri a ~ <br />Hes Q e~ u 5 Return Receipt for Merchandise ^ COD ~ <br /> ~ 7. Date of Delivery fo` <br /> 0 <br /> 5 eceive By: rPrinf Name <br />~ R. Addressee's Address Only ~ requested <br />and lee is paid) Y <br /> `A <br />~) J ~ ~ t <br /> 6. Signature: (Addressee or Agent) F" <br />o' X <br />>, <br />Ps Form 381 t, December tssa <br />,ozsas-Saeazza Domestic Return Receipt <br />