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P 179 4~~, 849$ <br /> <br /> <br />~~ o nsurance Co a age Provided <br />~:.",S°.+<: Do not use for International Mail <br />(SPP RP.VP.rSPI <br />Recejp~,fpr ~_ f~3 <br />Certi ied of fro -~- °~ <br />N l v rN I y r <br /> em to <br /> <br />C O(C ,• <br />Vq' <br />Car <br /> tie aptl No <br />r <br />/ <br />J <br /> le an0 ZIP Cone <br />0 . <br />$I <br />a <br /> I/`]Gi0 f ~ <br /> Postage F <br />J <br /> CenA~ed Fee <br /> Speoal Delnew Fee <br /> flesnUen Delrve~y Fee <br /> Petum Receipt Snowing <br />R ip WM1Om 6 Date Delrvetetl <br />~ Pelmn fleceipt $M1OWIng t M1p 1 <br />A Date, anti Atltliessee s <br /> TOTAL Postage • <br /> g Fees r ~~ ~ , <br /> Postmark or pale ~ ~.S C7 ,J <br /> `\w~~` <br />` <br /> <br />a C <br />, <br />_ <br />__ <br />^ SENDER: <br />• CompbU items 1 end/or 2 for etlditbnel Urvine. <br />I ele0 Wish t0 rBCBIVO thB <br />e Lomplete'rteme ], entl 4e 6 b. following 9arvlCle IfOr an BxtrB C <br />Y <br />• Print your name and edtlreea on the rsveree of this form eo that we can <br />hi f00f. • <br />t <br />return t <br />s card to you. <br />a <br />> • Attach thin form to the front o/ the meilpiece, or on the beck if apace <br />1 . ^ AddrBSSBB~S AddrBSS e <br />y <br />does npt permit. <br />a Write"Return Racelpt Requas[sd"pn the meilpi•ce below the article number. <br />2. ^ Restricted Delivery 6 <br />•m <br />• The Return Receipt will show to whom the article wee delivered arW the date ti <br />e delivered. Consult ostmaster for fee. • <br />v 3. Article Addressed to: 4a. Article Number <br />Coa( <br />rd U~le <br />l <br />© <br />' <br />C <br />~•k ~ 8 <br />r <br />,.0. <br />t <br />o <br />,/p <br />,s 4b <br />Service T <br />pe ~ <br />11 . <br />y <br />nn <br />(~ <br />~ Po. l30~Y ~d9q ^ Registered ^ Insures ~ <br />rn 1 Certified ^ COD .G <br />u ,^ <br />p ~1 /~ <br />PpCO {~(C(, <br />~~ 0'-I pig ^ Express Mail ^ Return Receipt for ~ <br /> , Merchandise <br />f <br />~ 7. Date of Delivery <br />a G/ ice- 93~rs <br />0 <br />' <br /> <br />~ <br />"6. Signature (Addresse T <br />f3. Addressee's Address (Only if requested Y <br />f <br />~ and fee is paid) ~ <br />W L <br />ignature (Agent) ~ <br />C U.a.G.P.0.: 1994-301-530 <br />