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iii iiiiiiiiiiiii iii <br />899 <br />P d~35 658 <br />~~ = 0 <br />fo ertified Mail ~ <br />~~~ N nce Coverage Provided. <br />' al M 'I S rse <br />`\ <br />r <br />,' <br />1~ <br />:, <br />i <br /> <br />p t use for Intemahon at ee rave ~ <br />Ito ~ s <br /> Ca <br />8Nu r ~ l,,/ <br />" (n <br />o `f Y <br />p ra, Slate 8 ZIP Co9e~o ~y„a / _ <br />~ ~O <br />((~, a~/W ~ <br />Posfeg'.- . _~ S ~' <br />CeMIe+E~,F ~ , ' ~ <br />ee-.` ~ <br />.' <br />Spedal Delivery Fee d'r <br />N <br />1 <br />edSJd ry Fee - <br />1 ~ <br /> <br />Rekrtn t~~ v <br />~ <br />a Dale Deuvema ~ <br />m N7iaa' <br />F Wk.. M~ea~'s pMAeSSA < <br />~ <br />TOTAL Postage 8 Fees a (~ <br /> <br />postmark ar Dele Q <br /> <br /> N <br />o <br /> O <br />~ <br />~ <br />a° <br />a <br />l~ <br />o SENDER: I also wish to receive the <br />a •Complete dams 1 andor 21or additional services. <br />.h •Complele items 3, 4a, end 4D. following SBrVICBS (fpr an <br />e • Pnnt your name and atldress on the reverse of Nis brm so that we can return this eXtrB }e9 <br />wrd to you. ~ si <br />m • Artrcul This form to the hoot of the malpiece, or on the back it space does not 1. ^ Addressee's Address <br />•Wnte'Rerum Recei f Re uesred'on the mail lets below the article number. m ' <br />u a . g p 2. ^ Restricted Delivery rn <br />L •The Return Receipt w+ll show to whom the enirle was delivered and the tlale a <br />G delivered. Consult pO5tm85ter for fBe. ~~ <br />0 3. Article Addressed to: 4a. Article Number w <br />er~e.IS~u~Co 2 5I (rF8 ~ . <br />na. service Type <br />~ ~ ~9 :, <br />^ Registered '^ Certified <br />m <br />w ^ Express1vl~^g f ~ c ^ Insured m <br />T ^ Relum e~eipt for Merchandhe ^ COD <br />o ~%L o Yer7C'e `- V ~/2~ 7. Date ell ~l <br />_ '1 -W 1 T <br />~ 5. Received By: (Poor Name) 6. Addre Addr Only !requested ~ <br />end le J i <br />t- <br />' g 6. Signaturg: (Addressee or~Agenr) <br />!. X \ `. <br />~a _ ~` ' <br />s ,;s ,off.. 8r1.1_ a~December tssa ~ ~ ~omestie~eturn Receipt ~~ <br />`~ ~~ <br />