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P 296 608 4a7 <br />U <br />y <br />c <br />c~ <br />U <br />-~3 <br />• 1 <br /><,_ <br />l- <br />~) <br />r- ~ <br />U7 ~ <br />~O <br />,- ~ <br />~~M <br />`o' <br />N <br />L-7 a <br />Receipt for <br />~~ Certified Mail <br />No c Ca~~' ro.idrd <br />O 9 <br />N ~• Do no use f <br />-~o'°~y <br />1'I ~ ~l,l~l pVYV'Yl. <br /> <br />~u~s ca ~ use <br />E <br />~~ ( <br />~` .~ <br />l- <br /> ueDtp <br />1 h\1 <br />;10 <br /> <br />, <br />O <br />~ ~ . <br />.Q V Complete items 1 sntl/or 2 for etlditionel aervius. I 8150 WISh t0 reCCIVB Lfle <br />• Complete itemc 3, and 6e 6 b. following SBIViCBS Ifor en extra <br />•'Pdnt your name and adtlrecc on the reverse of thin form so that we can }eel: <br />~ ,return this csrd to you. <br />~ • Arteeh this form m the front of the mailpiece, or on the back d apace 7. ^ Addressee's Address <br />0 does not permit. <br />.t. • Wms"Return Receip[Reeuasted"ontM meilpieee below the article number. 2 ^ RBStricted DBlivery <br />• The Retum Receipt will show to whom the article wee deliveratl end the date <br />~ dahvered. Consult ostmaster for fee. <br />e 3. Article Addressed to: A c Number <br />Epi 701.v~tvriillp ~ ~~(~ CoOB U'1~y7 <br />f/~~O ~ ~Q COl.lf'1'~'y C071R115510/ICY 4b. Service Tyl <br />N ly `„~ I , rf~~/r CC OJ (~I IC l L•7,/Cettified <br />m JU ~ l.~ > O ~7d^ Express Mail <br />~ ~ / ~ 7. Date Delit <br />a ~ C..C Cl~ <br />Z <br />~~ <br />R 5. Signature IAddresseel 8. Addressee's Address <br />~ and fee is paid) <br />f <br />~ 6. Signature (Agent) <br />0 <br />^ Insured <br />^ COD <br />^ Return <br />O <br />Q <br />0 <br />.fe <br />leceipt Tor 3 <br />Idise o <br />O <br />if requested Y <br />c <br />m <br />t <br />H <br />~ PS Form 3617, December 1991 eus.oro:vw--ssxau, p( <br />