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iii iiiiiiiiiiiu iii <br />999 <br /> ~' 296 607 684 <br />Receipt for <br />ab9 <br />Ce~ifi <br /> No Ins <br />t <br />°~ _ <br />n de a Provided <br />fa~'Ih rnational Mail <br /> Do no <br />C7 ~O4Y ~~•, lSee Re r et V <br />~ Senn <br />Sd• <br />~Qlrt ip(~VG <br />O r <br />W s,,.er O '' -p 0 tj <br /> <br />V COnx <br />Ro Siaie.-a:~P `~ C0~~J5 <br />O <br /> O <br />n <br /> Pa<rage <br />e <br />7 <br />C Cen•ue F,.e <br /> <br />~ lp~e <br />F <br />., <br />Y!' $Pec~ai I Ft JJ <br />~ Resmue0 Deeve.v F ' <br />ro canon. L Da <br />Pcrurn Pev'o Pi <br />Dare, and noo <br />Z Fees <br />Or <br />v <br />I also wish to receive the <br />following services (for an extra Y <br />feel: is <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery o <br />Consult postmaster for fee. <br />le Number C <br />> % 6r~7 Fky ~ <br />ice Type <br />:ered ^ Insured <br />-~t p-P .^ coo .~ <br />~ <br />rlY.:~H ~~~6p'1l Return Receipt for <br />%'•, "2r M <br />h <br />i ~ <br />erc <br />and <br />se ~ <br />er .- ~ <br />1 r-r O <br /> r <br />ss~ •~35 lonly if requested <br />e i ai <br />~ fItiPS / ~ <br />PS Form 11, December 1991 ,etr.s.cpo:taai-aszat~ DOMESTIC <br />"'~:. <br />ti <br />m SENDER: <br />y • Complete item! 1 andlor Z for additions{ servitee. <br />• • Complete items 3, and 4a & b. <br />~ • Print your name and address on the reverse of this /orm so t hat we can <br />O return this raid to you. <br />Y • Attach this Corm to the front of the marlDiece, or on [he back <br />it space <br />C does rrot Dermit. <br />= • Write"Return Receipt Repuested"an themailpiece below the a <br />rticle numbe <br />• The Return Receipt will show to wham the article was delive[ad <br />~ delivered. 77II and the dot <br />•e 3. Article Addressed to: 4a. AI <br />r ~ <br />rt M,dF <br />a <br />Bo <br />P; tf <br />o. <br />~~ <br />t,,y <br />s <br />a <br />4b. <br />~ Pot Sax 6s i x ^ ~ <br />y <br />(A <br />c ~ OISSr <br />~y1q~YwooGr~ ('O ~ ~ er <br />^ E <br /> J <br />O ~' ~ <br />Q <br /> 5. Signature (Addressee) 8. <br />r <br /> 6. Sig, natur 1 g@nt) <br />t <br /> <br />