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9 <br />w <br />T <br />O <br />3 <br />c <br />A <br />W <br />SENDER: Cofbpla! iums 1, 2, 3 nrd 4, <br />Put Your ldMys in slle "RETURN TO" spec! on th! <br />reverse side. Feilu r! to do this will prevent this card bom <br />txcnD rltumerl~to you. Thyreturn seceiot fee w'It•providl.. . <br />You the namYOf th! person deV'wred to antl ihrda! or <br />tlelivarv. FOl atAditionll bw mltollowinp terv¢Man <br />available. Conwlt postmaatlr for less and check b0><Sn) <br />for ss <br />ervi <br />ce(sl requested, <br />~~ <br />// <br />1. 11Y5how to whom, den and tMdrns of dHivery. <br />Z. ^ Restricted Dlliwry. <br />V7. AAmide Adaresslo to: <br />O • ~ <br />~ t.~ <br />~ <br />I <br />l <br />^ <br />r <br />` <br />~ <br />fl <br />I~t ~ ~ r ~kJ C J ~~t~ <br /> <br />4, Type of Service: Arijcl! Number <br />^ Registered ^ Insured <br />^ Certified ^ COD <br />^ Express Mail r <br />AI Wd YS obtain signature of addressee or agent and <br />DATE DELIVERED. <br />5. Signature - Adtlrlsse! <br />X <br />6. S' atu re - Agln <br />7. Date of e{ivery ` <br />~ <br />s <br />8. Address es tldr ~ r)ef]L[7f d CL P'1 <br />O <br />O <br />3 <br />n <br />9 <br />m <br />G <br />9 <br />2 <br />9 <br />m <br />n <br />a <br />,~ <br />~_ w <br />h1 ~ <br />o <br />J 8 <br />~ O <br />r <br />r, a <br />0 <br />el <br />,~ <br />r~?~q/ <br />J <br />~1 <br />V/ ' N <br />^~ LL <br />I~ <br />T 4' <br />.r- N <br />o. <br /> <br />`S P 652 676 149 <br />RECEIPT FOR CERTIFIED h1A1L <br />NO INSURANCE COVERAGE PROVIDED <br />NOT fOR INTERNATIONAL MAIL <br />ISee Reversel <br />s ^, ~1 <br />St~ire~l paQ`a~~ t <br />l <br />.O? <br />ane and ZIP~ddey <br />n ~~ 7 <br />PoslaBe 3 <br />Cenilied Fee <br />Special Delivery Fee <br />Restricted Delivery Fae <br />Return Receipt Sheaving <br />to whom and Dale Dalivaretl <br />Retum receipt shawin0 t whore, <br />Date, and Atldresa d.D~llvery . <br />TOTAL Postapa and Fees ~ S <br />Postmark or Date Y,,. , <br />