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Z 703 827 568 <br /> Receipt for <br /> Certified Mail _ <br /> �— No Insurance Coverage Provided <br /> Do not use for International Mail <br /> ISee Reverse) <br /> L t 0472 <br /> 2ilegd. <br /> 0., are and IP Code ' <br /> J <br /> Postage $ I <br /> OdhLed Fee •7 <br /> Special Delivery Fee <br /> Rnstrcted D.Mery Fee <br /> n <br /> m Rpwrn Receipt Showing 0 to Whom a Date Delivered <br /> L <br /> a Rec D mpt Showing to <br /> d] Date. <br /> re,and Addressee's Address <br /> TOTAL Postage <br /> Q a fees i:(J. t•() $ o! <br /> G Postmark or pale <br /> l9 <br /> 0 ` ti <br /> J LL 1 <br />