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~ ,. . . <br />..- • .. <br /> <br /> aa <br />~ S _ ,f0.39 ~_il~N ..: <br /> Asstage <br />Demm~atl Fee' ~: f2.40 ~` <br />! <br />~ <br /> _ <br />dc tr <br />(n' P <br /> Rennin Receipt Fee <br /> <br />(EMOrsement Required) ~ 'f1.85 <br />~„ ~.. ~, <br />~ yam. <br />O <br />~ Reetrbted DelNary Fee <br />(Endorsement Required) <br />~'~ ~' `~' <br />{. i y' <br />~ Total Postage & Fees .~ ~~ _ ~'~ 10/1 <br />~p ant o (/•~~~~~~~~ n - - - <br />O ~.NN1F/-rn.~- cI.L~ ............................... <br />...._.. 1 <br />M1 Sheer, apt No.; -^ q . . . <br />or PO BOx NO. ~~ ~~~~ 4S1! ....._ ................... <br />-----•--------------- P,d Yla-! <br />City, state. ZlPM <br />:,~ <br />.. <br />~~ ~. <br />~ i~~8 <br />ru <br />Postage $ <br />~ Cectltletl Fee <br />0 <br />~ <br />~ ReWm Receipt Fee <br /> (Endorsement Required) <br /> PRSmcted DelNary Fee <br /> (Fstlorsemant Required) <br />~ Total Postage 6 Foss <br />~ . __ . sz.ao I <br />~ t1.85 , <br />10.00 <br />N, f4.64 <br />Posh <br />_H~- <br />\~ <br />w P08ox Na <br />(- Sveei.--- ~ ~--- -Q---~~-! 3~ <br />~q:s~e ~ U, co . 2 <br />:,, _ <br />'- .. <br />ru . <br />m PSSIege $ ;,-90G39 07S g U E N~ V <br />o cenmeaPas ~r32t40 <br />o ~ D <br />~ Relum Receipt Fea ., ~ ~.~' ._... .. (~ ~ N <br />(Endosement Required) ..~ ~ n <br />D Restddetl DBINery Fee ~ .° ~i~ ~ - ~ <br />~ (EtWOSemant Required) ~cb <br />o Me~o„~,anaa~es. r$ ': ~:R4T64 -_ 10/1 1 ~Z <br />..D ~ ._J_-- .. <br />fl sane o _~ !t~liTL~.d.lL1.~:.5~~ ..-. -------~----'-- <br />f~ Sireei, Apt. o.; - ~ .rl O X '~1 -G) <br />Glty, Mare, LAM ~ '~ pf ~~/ <br />:.. 14 <br />~ ~ r r <br />.~ <br />,~ , . <br />....~. <br />.. <br /> <br />N d,~,'~c <br />"'~~' T~~ ®e <br />~~ <br />4.P <br /> <br />`~ Postage 6 f0:39 0751 BJfN <br /> <br />o Dengied Fee <br />"f2.40 (~ .. q` <br />~ '~'~ <br />~~ ~ <br />~ Remm Receipt Fea <br />(Endorsemem Requlretl) .--'f1:8S- ~ <br />' <br />~' HBfp'N ~ <br />~ <br />r9 RasalcWtl Delivery Fea <br />(Endorsement RBquaetl) ~ ' 10.00 <br />~ <br /> ~ <br />~ Total Postage & Fees $ - ... S4:fJ<f - ~ 1 0/ -~' (Z ` <br />_ _ <br />o Sent cf._J _) _ ~'~ ~ ~ ~a~c~lj'~v~ :............ <br />M1 ~i~i,JAo<Tw~a1':C......yW.~7. y4~~-ltl.... .. <br />G,n: ate. LAM Urs'ht ~ ~ i~-t/ <br />-- - <br /> <br />