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9 <br />N <br />T <br />O <br />3' <br />tL <br />J <br />J <br />V <br />f. <br />m <br />m <br />Y <br />.SENDER: Complete items 1, Z, 3 and 4. <br />Put your atltlress rn rha "RPTU RN T9" space on rha <br />reverse side. Failure to tlo this will prevent this card from <br />Doing IetYlned 10 YOU. ~~ratu rn rBLBiPt lee will DrOVitle <br />you tM name Ot the person tlarcaratl to entl the tlate OI <br />delivwY. For atltlitionsl ssM [ne lollowing services are <br />available. Co11f111 postmmter for leas and check Do.lesl <br />Iw tervieelsl rertuastetl. <br />1.~ Show to whom, tlete end atltlress of tlelivery. <br />Z. ^ Rwtrictetl Delivery. <br />3. Article Atltlressetl}}~~ ~M <br />~r(/YUOPGCP/ ~'~1 <br />po. ~o ~c `7 ~ 3 <br /> <br />4. Type of Service: Article Number <br />^ Registered ^ Insured <br />C <br />h <br />d ^ s~ / 7c~ <br />Pc <br />7 <br />eru <br />e <br />COD ~ <br />r (S <br />Express Mail <br />Always obtain signature of addressee or agent and <br />DATE DELIVERED. <br />5. Signature - Atldrgw <br />X <br />6. 51 tore - A r' <br />~.G eriy <br />7. ate of paliNrY J r~ <br />J J , <br />8. Atldreaae'e Adtlraa ~QArL ~ IafftsKKt K <br /> <br />C <br />C <br />3 <br />d <br />w <br />i <br />R <br />C <br />3 <br />2 <br />S <br />R <br />a <br />I <br /> <br /> <br />P 652 675 963, ~s <br />RECEIPT FOR'~ERTIFIED MAIL <br />d <br />NO INSURANCE COVERAGE PROVIDED ~ <br />1~5 S NOT FOfl INTERNATIONAL MAIL <br />C-~~ $' c7 <br />~~ <br />~S (See Reverse) D <br />w Sent to _ n u <br />n 1! <br /> <br />S rot and o. ~'2-, <br />J <br /> <br />P. state and IPCotle <br />c6/0~ <br />d j ~ <br />p Postage S~7/ p <br /> <br />3 <br />ai <br /># Certill ~e~, y, h~~y ~~Y <br />Restrlcte0 DeI1~I~4e'1 4 IJ -~ <br />Return Receipt~~~~A D ~ <br />to whom and D <br />a Retu 'Q <br />ass o e ttrs.7tvr. <br />m Date, an <br />a TOTAL Postage and Fees s <br />m <br />LL <br />:_ _ <br />' f <br />p ~, ~-'S '~ <br />Postmark or_Date <br />s53T 1 ° i a' a <br /> 19~ <br />LL , <br />t~ <br />y <br />a <br />~ <br /> <br />_ <br />., <br />