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III IIIIIIIIIIIII III 999 Spec. ~,n 6 Z 13 D ~-dip ~6¢~2oSs US Postal Service ~~~~ Receipt for Certified Mail No Insurar>c~e Coverage Provided. .70 2 PosRge S ri Certified Fee :V Spedal Der Restricted Dalivary F - C ~ .;~ ~ Retum R I~ _c Wlgm ve ~ ' ~ Dat Adtavee~t /ddess 070 LPOSyil~~ees C '~ s ~..3 ~~ P rk or Data r li `~= '~ a ``` m ~ ; `-/' Z ~ 'O SENDER: •Conplete items 1 anNar 2 for atlditional cervicec. I also wish to receive the ~a •COmplete itema 3, 4a, and 4b. follOWing SerVlCee (for an Nd •~a i orou ame end address on Ins reverse of this form so that we can return This BXtfa lee): d ~is form to the from of Ins malpiece. ar on the batlr it space does not p • t, ^ AddreSSBe'S AddreSS ~ ~ , perm •Wnte'Retum Reoei t Requesled'on the mail lets below the article number. w 2. ~ Restricted Delivery m y `L , C •The Relum Receipt 91 show to whom the artitle was delivered and the dale delivered. Consult pO51ma5ter tOf the. o w v n 3. Article Addressetl to: ~e~ ~ue~s ~`ru ~o 4a. Artlcle Number ~ 130 Oq0 (a2 ~/ w~ 4b. Service Typa .~. ~O aS ,! ~ ~~ ~~JI!- r] Registered ^ Certified d ¢ m rn ^ Express Mail ^ Insured 5 ¢ ~ZZ~ co ^ Retum Receipt for I COD N ° O g ~~~~~.~ 7. Date of Delive ~ ~ C \ ~ ~ Z ~ 1 T ~ 5. Received By: (Print Name) B. Addressee's dd ss (O I t req esfed r ~ m r. and /ee is pal fy r ¢ r9J ~ f g "6. Sig a re: (Addressee orA entJ ~ G. c~ G f. X I ~ • U'~J ~ rn - ~ 1'" PS f=orm 3811, December tssa Domestic Return Receipt ~ .~dlhr ~ ..._r ~ ..r ~ _ ` ~"