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. SENDEti: CompNte isms i snd Z wMn edditlfntel sesvlees en detlrsd, ntd eempbts items 3 em <br />Put your address in tM "RETURN TO" tY1da tlH~ side. Pdllun m 40 tAls wlll prevent this <br />,. a <br />r _., 'r I to B 5~8D ~J .5 <br />f~Cit 9 $ 3 a! a15 1JCwa, Sa LAC rt119W ^ c and <br />'~- r-r.a+t-q pir7r (~ a ~ 7C~ ~ ^vEzpnn Meil <br />(~ Alweys pbteln slpnetun of Wd~essea or <br />e.. re nu rv~sen- <br />o. aipna[ure - naoressee <br />X ~ requested and <br />P 168 480 353 <br /> RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERAGE PROVIDED <br /> NOT FOR INTERNATIONAL MAIL <br /> (~ r /See Reverse) 9 ~ <br /> s <br />~ Sen~ d G <br /> <br />m Slr el an No. <br />a l a ~5 W 5a W <br />w <br />o P.O., Stale and ZIP Code `~ <br />s <br />o ~ <br />a <br />C7 <br />POStape <br />s <br />y <br />Yl ~ <br />J <br />% <br />Certified Fee _~ <br />I .~ <br />Delivery Fee <br /> Restricted Delivery Fee <br /> 7 <br /> Return Receipt Showing j <br /> to whom antl Date D ed -o <br /> <br />~ Return rxelpt harm <br />m Date, and A Deli C <br /> <br />n TOTAL Pos a~ees ~ I <br />Y W °O <br />. o <br />0o Postmark o et <br />o <br /> ~ <br />Q W <br /> lg <br />E <br />0 <br />LL <br />N <br />o. <br />