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<br />_ ~ <br />1j~ P 652 676 014 <br />CEIPT FOR CERTIFIED MAIL ^`` <br />,,~1 ~'!O INSURANCE COVERAGE PROVIDED <br />I'J ! - `Q NOT FOR INTERNA710NAL MAIL <br />~ Q ~ (See Reverse) <br />G/ <br />O <br />4 <br />~~ <br />HHnn of <br />1', <br />~~ <br />L <br />W~ <br />1n <„ <br />Y' m <br />M~ <br />. LL <br />(h <br />n_ <br />p1 E <br />J4 <br />d <br />Sent to ~~. ~~~G ~1~r„u <br />Street and No. lp O, ~ Oy (1.~1 O <br />P.O., State an 121P Code et` (~7 <br />O <br />Postage 5 <br />Certified Fee <br />Special Delivery Fee, <br />..,r '1:: <br />~ <br />lvery Fee ~ '~ <br />Restricted De <br />Relurn Receipt Showing C <br />to whom and Date Dell <br />' <br />Relum recelp showin hC~ n <br />Date, antl Address of, Delivery <br />TOTAL Postage and F q~ 1~~ <br />Postmark or Date ~' ~ - ~ <br />I) COY <br /> <br />w <br />O <br />3' <br />m <br />r <br />s <br />m° <br />u <br />• SENDER: COtrrplm hares 1, 2, 3 and d. <br />Put your etltlresa in the •'q ETURN TO" apace On the <br />revarae aide. Failure to tlo thin will prevent thin csrd Irom <br />being nturnrrd t0 ya.. TM rawrn rCebt tr~ytwill mw{tla <br />you the name of Ma Perean dNiuwad to arM me den of <br />dNieerv. For arld{HOnel ia~ the following wrvkea an <br />seallebla. DOriwlt Dptmartar tOr Iq end check bo„lal <br />for servicelsl requrMetl. <br />1. ~ Show to whom, date and addrasa Of delivery. <br />Z. ^ Reatrictrrtl DNivary. <br />9. Article Addressstl to: <br />Mr . 0.r(;c '3a; ~~.~ <br />Metti..ta: " --'I~r~cdf ••5 Go+,c'~r CD, <br />P.o,3~. ~~.~o <br />f2:.~ti~ c,a ~ I Ls a <br />e. Type of Service: Article Number <br />^ Registered ^ Insured <br />~I Certified (] COD <br />^ EnPress Mail <br />Always obtain signature of addressee lagent and <br />DATE DELIVERED. <br />5. Signature - Atldraasee <br />X t <br />6. Signature -Agent <br />7( <br />Data of Deliver <br />_ ~8-85 <br />B. Atltlraasee'a AOtlreas ~ONL 1 ICQYQt d K <br />O <br />N <br />A <br />9 <br />m <br />C <br />9 <br />2 <br />9 <br />m <br />n <br />a <br />