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rill iii ii i i~ iii iii <br />999 <br />T N <br />-: -o <br />Z L92 124 473 ~ n~ <br />O US Postal Service <br />o Receipt for Certified Mail ~~, <br />~ No Insurance Coverage Provided. <br />..._,, ---..,.~.e,lR_~ <br />1h~r -- <br />C Q f50`4 ~ ~'3 <br />N ,Stet , 6 ZIP g <br />0 <br />lA Ppstape ,, ,~r= <br />~~-` U <br />~ Cernfied Fee ~u'~ <br />~ Spedal Delivery F ~e : I <br />z <br />a ~ <br />y $ESyDEfS; ~1 also wish to receive the <br />v • Complete items 7 andlor 1 tar etltlieonal serves. <br />m . Complete items 3, aa. and ob. IOIIOWin SeN)Ce5 (10r a0 <br />B <br />~ • Pnnl your name and adrr5son (he reverse 6i Ihrs form so that we can reWrn phis extra fee): <br />cartl io pou. <br />m • Attach Ihis tOrm to Ih¢ Lont of the ma,lp~ece, Cr on the back i1 space does not <br />1, [] Addressee's Address m <br />~' . Wn a r'Rerum ncrerFn Hcpuesled'on the mailpiece below the ankle nUmbec <br />N 2. ^ Reshicted Delivery m <br />• The Relum Receipt will show to whom the ertrcle was dolrv¢red an <br />eelroerea, d the dale <br />Consult postmaster for fee. <br />ti <br />0 <br />An <br />kle Addressed to: <br />3 <br />. 4a. Article N umber u <br />.. <br />- <br />- <br />p~ <br />~, <br />! <br />t"O~C'r~rOr~~l ~Om~~.V~~ ~ ~.v~- a4 4~3 <br />4 4 <br /> <br />$4~~ ~~"~ ~~3'Q C <br />egistered rJ []Certified <br /> -,.f, _ // p <br />~ ~ <br />U <br />~ ~D <br />~ Express Mad `O ^ Insured ~ <br /> (~-~ l.~ <br />C3, <br />U <br />. getum R~e~pr la ,ic andise ^ COD ~ <br /> 7. ale of Delivery / „`o_ <br /> ~Gc o <br /> <br />rived 8y: (P ~n Name) <br />8. Adtlre'ssee's Address (Only if requested T <br />m <br /> <br />t7n ~ livvv rv~o and fee is paid} ~ <br />~ <br /> 6. Sign ddressee genC) <br />O <br />T <br />P 1 , D tuber 1994 1@595odB0219 Domestic Retum Receipt <br />