|
1_ 1 t
<br />ORIGIN ln~'O "
<br />PO01 OnIC1 Time In
<br />ZIP CoO~ .{/ r v:
<br />t
<br />~, Nm Dq palnry Or ^ sncwN wy aliwry
<br /> Tolal
<br />ga,r]N,wi Or ~By]OBPM ~ PpelOpe
<br /> d Fees
<br />Mlilah
<br />tno Dq Military
<br />OI ^ 1o Day
<br />-
<br />Express Mail
<br />Corporate Feaeml Pgency
<br />A[[puol No PGpounl IJO
<br />'~.
<br />_. i.
<br />S
<br />! r'
<br />~~ c~
<br /> IB367607911 US
<br />
<br /> Ilna Fwnn ~~ mYv ~ rv n• w. GmM.
<br /> •v i o-.r ru• r. .~ m
<br />~ ,..
<br />. ..
<br />..T i.
<br />~: n n.rw m o n, . .
<br /> .
<br />.
<br />.
<br />.on ....i n1 Vm u.r ..~ . aa(ui~.....
<br />1
<br /> usV4•m....nn m~iuvµr m..n.~.rp.°inn~n.~i ni.....n ..... .: i~~n.o. .. n.. ].14.~i.. n.. v..~...... .... ~.i.~
<br /> ~nu• or J W e ~. ni inr n..r u. ~. n..u,..~..n' ..--.-1 +u: .rf.u.m. y,~.,.nia r. .a,.u rt....
<br />. a .. :.a
<br />
<br />- ,~.. ., ~ ..
<br />sw ov o.~ ~. .• to ~.. ~.
<br /> .~..~oo.,a- c,
<br />..... .. ..,.-.. v. *..,.o. ~", .,.,,,,,~ .~ ~,...~,...,, ..rte....,.... v Ko-~.,r.. c,„ ~.~. ,..,....
<br /> n. Mee ..~~r~ {i!
<br />
<br />
<br />~
<br />~I.p n~5.i. .C~ nih.~ ~mn.
<br />~
<br />r
<br /> n i,..",i.a
<br />vrn w. a^rte
<br />f
<br />N N
<br />n
<br />~
<br />"
<br />~
<br /> •yu b
<br />~~'a in Lute t•
<br />rM
<br />.. n .... .
<br />J
<br /> f '""°.' ".'"'"°' p.;°"' '"
<br />: ...a
<br />Wai
<br />e
<br />~
<br />~
<br />~
<br /> v
<br />r o
<br />.a"...
<br />a.m." .
<br />"
<br />rh
<br />r: S.ri."...~~: ..o i'.W"d,:. ~". at~,.;~:mr+w..
<br />Si
<br />t
<br /> gna
<br />ure
<br />and Indemnity ~°~°:.::.~°.."~."~. ........ "°""°..~.,a,~ ..q.r.,..~
<br />ry ..ren,«.,. ~w a mo.r o. any..,
<br /> (Domestic Only) s~crrcD _
<br /> CUSTOMER RECEIPT
<br /> TO • Telsphon~ Numbsr:
<br /> i 1>C I ~,r 1- 1/nr~~~ii
<br />( urr,ioc~a ~
<br /> i r it
<br />4
<br />(.
<br /> ::
<br />J~~
<br /> t
<br />~
<br />~~r i3
<br />-
<br /> ,
<br />,.,
<br />.
<br />v -
<br />
<br />
<br />
<br /> ;~ r
<br />Thank You FoFUsing •~Xpress Mail; Service , ,,, _ , , __ , _..
<br />i
<br />a
<br />AeWrn
<br />e
<br />f
<br />E
<br />
|