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apes. T <br /> <br />v Z 191 ~il~# `~ <br />~US Postal service <br />,Receipt foz Certified Mail <br />_,, No Insurance Coverage Provided. <br />W Do not use far Intematio I Mail See reverse <br />... <br /> <br /> <br /> "~ ~s ass <br /> <br />3 ca, ,azlPCod <br />ll <br />~ Pee E <br />3 Certified Fee ~ \ <br /> ' ~ < <br /> cQ <br />Speaal Del <br />L <br /> Restdcled D ~ <br /> Relum Receipt ~ 9~ _ a, J <br />s Whom 6 Dale De5ve <br /> ReESn RecePl ~^T9 mWhm4 <br /> bd~, 6 Mtressees Adtrea <br /> TOTAL Postage 8 Few S L) t/ <br /> <br />~ _ <br />W <br />Posenerk or Dale <br />o SENDER: <br />9 •Complete items 1 andJor2lor additional serNCes. I x150 wish to receive the <br />' a •Complete items 3, <a, and 4b. f0gOWing SeNIGeS (for an <br /> • Print your name and address on the reverse of (hie form sc that wo ran return Ihi• BXtra fe9~: <br /> card to you. <br />•Aaach mis farm to the Imnt of the mailpiece, or on the bads it apace does not <br />1. ^ Addres599'S Address m <br />~ <br /> <br />m pennil. <br />• Wnte'ReNm Recerpr Requwled'on the mailpiece below the article number <br />2. ^ Re5ldcfed Delivery d . <br />y <br />~ •TTe Rttum Receipt will show to wham the artrde was dearered arW the date <br />~ delivered. Consult postrnaster for fee. <br />0 <br />m Article Addressed t< <br /> <br />m <br />E <br /> <br />o n <br />~~ - <br /> <br /> <br />D I <br />P ~ ~~~; <br /> <br /> Yeti <br />-~ <br />~ 5. Received By: (Pont <br />r <br />~ 6. Sign ur : (Addrest <br />i <br />. <br />m <br />uC~~~~s <br />113 <br />C a~~ ~12,~ ~, <br />or <br /> v <br />4 rticle N <br />umber <br />nn,, <br />q <br />~ <br />I ~~~ ~_ <br />~' <br />L <br />I c <br />_. <br />db. Service Type ~ <br />m <br />^ Registered Certified <br /> <br />^ Express Mail Insured 0 <br />5 <br />^ Return Receipt for Merchandise ^ COD <br />7. Date of Delivery <br /> ~- <br /> >, <br />B. Addressee's Adtlress (Only i/requested ~ <br />epd lee is paid) L <br />~ n ~ <br />PS~oRr(3811, Dee~mber1994 <br />