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iii iiiiiiiiiiiiiiii <br />999 <br />o- SENDER: <br />0 <br />9 ~ICampwaiteme 1 enNor 2 for additional eervicee. 18150 WISh 70 feC01VB 7118 <br />b •Ebmpletillems 3, 4a, end 4b. foIlDWing SBNICBS (}Of an <br />o •Pdm your name end address on the ravens of this form eo that wa can return this B%tra feB): <br />CMd IO you. <br />j •M•ch Ihfa lone to the hoM o1 the mailpiece, or on the batlc if apace don net <br />f . ^ Addressee's Address <br />o perwh. <br />y •Wd1a'Rrdum Receipt Aequestetl' on Iha mailpiace below Vie article number. <br />2. ^ Restricted Delivery <br />$ •Thg Relum'Receipt will show to whom Vla enitle was delivered end the data <br />~ dWivared. <br />O <br />Consult postmaster for fee. <br />0 3. Artcle Addressed to: <br />a'~lUe ~-{DUwtcu~~~~ =NG 4a. Article Number <br />Z 192 I2I -4U <br />e "C1_ `' ,rte <br />L <br />l` 4b. Service Type <br />u <br />~_1 fie,-.~~ <br />~'~~ ~~I us'~^'+ ^ Registered ^ Certified <br />^ 6 <br />^ I <br />d <br />' 3foo7 Cot~y'?,otlci b5 e <br />nsure <br />c ~~S <br />^ etu er dise ^ coD <br />a~e~,t,}, CQ O -(p4p 7 Dat of Delivery <br />is paid) <br />~ 6. Sig <br />T X <br />a <br />PS Fo <br />N <br />a <br />v <br />Q <br />G <br />O <br />m <br />0 <br />LL <br />N <br />a <br />'- - - <br />C~c_ TSI'M <br />Z 19 2 1~ 1 1411z~~ <br />US Postal Service i-li@ # G8t01$ <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Provitled. <br />Do not use for International Mail See arse <br />Seel tO oUn ~ <br />ado Jdant Soo + <br />Streel8 Num r <br />3foo'1 CPUs <br />d !05 1 <br />ca <br />Olfice, late, 8 L Cade - <br />•-l~IS <br />8 <br />Co ~ <br />. <br />a e . ~, <br />Postage y, a' L=am <br /> <br /> <br />Certified Fee r _~ J <br />~ <br />_ ~ <br />~ <br />Spedal Delivery Fee ~ r <br /> <br />• <br />3 <br /> <br />Rasaided DeFvery Fee V <br />--f <br />~ <br />Relum Receipt Showng to ~ <br />When 8 Dale DeGvemd 0 <br />lieaun Racept5tmiiigm YAUa, GI) <br />Dam, 6 MNessaes M6ess ~ <br />TOTAL Postage 8 Fxs S ~ ~ <br />1 <br />PosMerk or Date <br />Y <br />Z <br />N <br />n <br />Y <br />u <br />0 <br />d <br />m <br />s <br />0 <br />>, <br />Y <br />C <br />t <br />r <br />