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FZalx~r'k- 1~ . ~..,.,,d L 4,v ~ L° ore <br />Date: _' "30 /QD <br />File No.: rYl=g7_ c~f~ <br />NOV No.: /h - Q - U~/ <br />Ann. Date y~/ ~ /gyp ~ n F ~~ <br />Annual Fee: ~ SD .00 ~-} /c7 ~3~Q0 <br />C. P.: ~ .SD. DO C.P~ iUDt~-~' <br />Bond Amt.: ~,~jl DOD <br />Bond Tyoe: LOC_ ~ r4 ~~ <br />Board Date: (old? -~~,qo /~ . l`~v <br />Board A:.tion: 2~ F Uv/\~r \A / <br />~V <br />Board Action Taken: <br />Sec !9, % ~19,1~f ,~44~~ 71Q~o>Y+~sa Pn <br />6143E `71'~ °Mr~~D"~ Crt:~tl _ <br />SQoke L rr !r. COr~}.1 IMad.S ~~ ~~lD. SeM CI ~r.-C CP <br />6 ~w~ e~ ce . P~okJs+cd SOU L~1-v-. V <br />• SENDER: Complete items 1 end 2 when edditlonel services sre desired, antl complete Items <br />3 end ~. <br />PN your address In the "RETURN TD" Space on the reverse eltle. Failure to do this will prevent this <br />card from being returned to you. Tha return recei.~t fee will rovide ou the name of the arson delivered <br />to antl t e date of delive .For aa~tro' neTfees the o owing aerv ces era ave'rbT. onsu t postmaster <br />or a en t ec c ox es for eddhional servicelal requested. <br />t. Show to whom delivered, data, end addressee's address. 2. ^ Restricted Delivery <br />(Faro cMrge) (Extra cMrge) <br />3. Article Addressed to: 4. Article Number <br />r..rfr,~tc~f,Pp..,i~~-mo>-t~o~, ~.a. <br />~DD ~~/1 <br /> <br />/p ,/ <br />~Qi1 ~ras'~~ Co " / 7 ~/ Type of service: <br />LJ el7iatered ^ Insuretl <br />Certified Q COD <br />Eapresa Mail ^ Return Receipt <br />for Merchsn isa <br />~ O Iweys obtain signawre of addressee <br />4 or ant antl DATE DELIVERED. <br />5. Signature -Address h C~V dressee's Address (ONLY if <br />x Q ~. s!ed and fee paid) <br />_- ~~ <br />6. Signet -Agent g <br />x ~g9 <br />7. Date of Delivery <br />FS Foam 3tl77, Mu. 1986 + U.S.O.P.O. 1>if18-212-065 DOMECTIC RETURN RECEIPT <br />