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Mon~r-IUlrioN ~cR Nev c-9t-o1 t <br />EiVDER: = 1 also wish to, receive th'e <br />• Complete items 1 end/or 2 for adtlmonal aervicaa <br />• Complete rtema~3 end44e8 +t t .aes ~ ..r4 following 'eBrvICe9 (for en extra;,. <br />GP,n,4nt Your neme~end edtlreas~on tha eve ae of a form so Mat wed . ; '~ -s. r "e' <br />return tms certl ipiYn. 'mot `.~~ ~'~~~• . y * ~ °ifeai ' _. . ."' <br />• At`tseh~}h~e~form to t eN~cnt,o e.[rregPieca=ear on'Me.be`cli it spece.?~"' 1. ^~`~Addresseefs Address <br />does not Permit. . i, `~ ~ ~" e Y ' '' ~ s ~ .: _ <br />• Write"Return R•c°iPt Reegyueitad;on thelnsdpiece below the artsie n5 2. [] Restricted Delivery <br />vThe Return Receiet Fee whl vnvd veu ehenen r'.a nCiheia.r•nnnil V..: <br />;le Addressed to: ~ ' <br />Mr. Vance, Mills <br />HC-81, P.0. Box 6 <br />Barbourville KY 40906 <br /> <br />P 860 170 9Z1'g <br />4b. Service Type <br />.fl. Regis{ered ^ Insured <br />[~~Certified ^ COD. <br />^ Express Mail ^ Returrv Receipt for <br />Merchandise <br />7. Date.af Dalivaw <br />Addresa9e's Address (Only if <br />and fee is paid) <br />l <br />ly l t. <br />JJD G-S18R~-o~g - '- <br />Wovgz•Z( P 860 170 °13 <br />Certified Mail Receipt <br />^ No Insurance Coverage Provided <br />ul. Do not use for International Mail <br />.r-a ~~ (See Reverse) <br />W <br />.-.+- Sam ro <br />w Mr. Vance Mills <br />~ Sueet 6 No. <br />~ HC-81, P.0. box 6 <br />PO.. Stale a ZIP Cotle <br />~ Barbourville KY 40906 <br />33 Poelepe <br />3 Ceniged Fee <br />N <br />~ Sped nary <br />C7l <br />aid OBtyerY ° <br />~ m ~ moR (+ pelf red <br />^^~ q , eh rig Whom, <br />`•~ 9.a ry <br />0' TOr1.l. $ ,a <br />WO s Feee <br />~~ Ponmark or Date , <br />to <br />---a ----- ------ --'--... <br />