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<br />A <br />L <br />S <br />m <br />~C <br />C <br />LL <br />a <br /> <br />.? 416 942 529 <br />Recei~~t~ ~5 <br />Certifi~~ ~~ <br />~ No Insurance Co a ro r <br />.or~LvRV Do not use For International Mall <br />ISee Reverse) <br />5 n:o` <br />I ,V\ <br />San o ~ ~ r <br />J <br /> <br />P' isle an¢:~F one /Y ~I/ <br />Fomage `S <br />a <br /> <br />Cennree Fee ~ <br />SVena~ Oemrerv Fee <br /> <br />fl¢a1r~clPtl D¢Irvery Fea <br /> 3 <br />Pemm Nece~pi Snm~r,g <br />io'.Nnom B Daie Gel.veiea N <br />j <br />Nelwn ne[e~C~ SM1Ow~ng to Whom. (f <br />Dale. antl Atl,lressee's Ptla~ess \~ <br />1OrAL :o.mge d` <br />8 tees ~ A <br />Postman or Date CL`t ~ <br /> ~ <br /> <br /> <br />__ _ ___ __ __ ___ G <br />m SENDER: <br />9 •Cdnplme items 1 enNM 2 for atlditiond services. t also wish to receive the <br />m eCdnplete iterro 3, <a, and 4b. fcll0wing SBIVICBS (fOr en <br />e •Pdm your name antl address on the reverts of )hie loan eo 1he1 ws can velum Ihia extra fee): <br /> <br />Y card to you. <br />this loan to the hom of the mailpiace, or an the beds H apace does not <br />•~~ <br />f, ~ AddreS5a9'S AddfeSS o <br /> <br />m l <br />• Wd16'ReNm RBOai RequBSfed" tln dle Rmfl eca below Ma snide nurMer, <br />~ <br />d <br />2. ~ Residcted Delivery m <br />y <br />~ eThe Retum Receip <br />will show to whom ma arli <br />e was delivered antl the date <br />amiveretl. Consult postrnaster for fee fi <br />0 . <br />~ 3. Article Addressed to: ~QN " <br />` 4 jArtid % umbe ~ ~~ <br />£ <br />u •~ ~j7yy'~~ ~' ~•(S~~~S <br />~ <br />/ <br />Mfr 4b. Service Type <br />~ <br /> ww' `1 <br />I~ <br />V ^ Registered Certified ~' <br /> <br />/n~ ~j( <br />l2~8 <br />'" <br />` ^ F~cpress Mail ^ Insured -5 <br />'m <br /> ' <br />V ~ ^ Retum Receipt for Merchentlise ^ COD <br />o ~I ..~w~ ~~) C.:~ ~/~O <br />~yJ~ 7. Date of Delivery <br /> T <br /> 5. Received By: (Print Name) B. Add r ry i(requesfed ~ <br /> and lee !s paid) i <br /> F <br />~ <br />o 6. S nature: Addr orAgenl) <br />•~ <br /> <br />T ~ <br /> <br />m `~j <br /> PS Form 3811. December 789a Domestic Return Receipt <br /> <br />