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<br />e SENDER: - <br /> <br />a <br />•COmplale items i and/or 21or atltlilional services. I also wish to receive the <br />m .Complete items 3, 19, end 4D. following SBNICBS (for an <br /> name and etldreaa on Via reverse of This form so <br />rr~ d t cur Thal wa can return This extra fee): <br /> <br />~ l <br />•AVach t~is brm to the from of me mailpiera, or on tha Dads <br />i <br />it 6paca tloea not <br />t , ^ Addressee's Address ~ <br />d <br />~ pertn <br />l. <br />•Write'Ra(um Receipt Requesred'on the mailpiace Delow the adide number. <br />2.^Restdcted DellVery <br />y <br /> •The Ratum Receipt will show to whom the elide was delivered antl the dale <br />~ tlelivared. Consult postmaster for fee. <br />'d <br />c <br />v 3. Article A <br />ddressed to: 4a. Article Number ai <br /> 1 <br />E <br />~°+ <br />~~ ~~ ~ ~ 4b. Service Type <br />^ Registered ~ Certified <br /> <br />m <br /> <br />Q ~A ~~ <br />Y <br />J <br />v' ^ Express Mail ^ Insured <br /> <br />^ R <br />R <br />i <br />t f <br />h <br />ndi <br />t <br />M <br />^ COD 5 <br />N <br /> i <br />,A <br />+ urn <br />p <br />erc <br />e <br />ece <br />or <br />a <br />se <br />c <br />a ~ /L,.J, //1 AnIV_~ <br />lY W'aY <br />( <br />l(~lS 7. Date of Delivery <br /> „ <br />f ~a- ~~-97 r <br /> 5. Received By: (Pont Name) S. Addressee's Address (Only i! requested ~ <br />~ S J~~. ~~~ ~ and !ee is paid) L <br /> 6. Signatur . (A ressee or nt) <br />o <br />a X <br />m <br />PS F 811, December tssa <br />Domestic Return Receipt <br /> <br />P 6 431 370 <br />ice <br />c for Certified Mail ~ <br />o nce Coverage Provided. ..'.. <br />n use for Intemationa! Mail See reverse ~,,~ <br />I10 If M 1 <br />. 0..... a~~ a Gw.wf W <br /> <br /> Grtlfirb F ,~' <br /> Spatial sly Fee <br />7 ~ ^~ N <br /> <br />" ~ <br />FT ~ <br /> Rastri~ed Dalouy`4e <br />~ .,, <br /> v <br />N <br />~ <br />Relum apt Showing to <br />= <br /> Whom ate Defrvered ~ <br />_ <br />$ Rehm R <br />Date,BPd~essedsAdh~t` ~ <br />D <br />m TOTAL Postage 8 Fees S - Q <br />~ PoslmMc or Oero <br /> O <br />ti N <br />O <br />N <br />