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<br />~j'~t ii-77-a/P <br />P 767 446 793 <br />m <br />ai <br />C <br />C <br />m <br />E <br />LL <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSUMNCE COVEMGE Pa0V10E0 <br />NOi FON INTENNATIONAL MAIL <br />ISee Reverse) <br />Seni to Q6 f~~ Gop cfeY <br />Slreel antl No. <br />P O.. Slate antl ZIP Cotle <br />~ <br />D O <br />Postage S <br />Genllied Fee <br />Spenal Delivery Fee -. <br />Restncted Delivery Fee ~ <br /> <br />l ~' ' <br />.7~ <br />' <br />Return Receipt shpwinq. <br />to whom antl Date Deycer4d. ~ ~. <br />`.~ i, <br />Return Receipt showing Io whom. <br />Date. and Address or Delvery '-~" ~~ <br />TOTAL Postage antl Fees S <br />Postmark or Date - <br />r <br />J <br />W <br />1 <br />,W <br />V/ <br />S <br />(D <br />7 <br />N_ <br />0 <br />(9 <br />7 <br />ro <br />1 <br />n <br />07 <br />O <br />N <br />O <br />W <br />• SENDER: Complete items 1 end 2 when additional services are declred, end complete kema <br />3 end 4. <br />Put your address in the "RETURN TO" Space on the reveres altle. Fellure to do this will prevent thls <br />cartl from being returned to you. The return receipt fee will rovide you the name or the person delivered <br />~ <br />- <br />to end the ate of dative .For eadittoll'ees the fogowtng services are aver a e. pnsT <br />61 <br />C u t po osier <br />or e n c ec t ox es for edditlonel sarvicelsl requested. <br />1. Show to whom delivered, dote, and edtlressee's address. 2. ^ Restricted Delivery <br />IEvm charge) (Erma Charge) <br />3. Article Addressed to: 4. A Icla Number <br /> <br />CuSY/~ Lo~co'~~~ GP. ~y <br />/9 <br />.M/; G ~ <br />U h <br />~c r <br />~ Tvpe or ervloe: <br />q <br />cn <br />P. <br />/1 ~~ ^ Registered ^ Ineuretl <br />v <br />G . f"L ' <br />~r3'7y ~rtified ^ COD <br />/ <br />~ '~~, i .-~ f~~ r'/Y~ S <br />C G cyV ~ ' `/~' ~ <br />C ^ ExPresa Mail ^ qor Merchendlee <br />~ <br /> Always obteln signature of eddreeaee <br /> or agent and DATE DELIVERED. <br />5. Signature -Address S. Addressee's Address (ONLY iJ <br />X req sud and fee paid) <br />6. Signature - gent <br />r' /~ <br />C~ ~/~'L (/'ice/ <br />V' <br />~( ~ <br />t .. <br />7. Date of Delivery ~ ~ '.'~ <br />PS Form 38~ 1, Mar. 1988 + U. S.O.P.O. 1888-212-885 DOMESTIC RETURN RECEIPT <br />