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• • iii i~itiitiiitti tit <br />999 <br />m <br />Obi <br />L <br />O <br />0 <br />O <br />rt~pD <br />f~ <br />Z 407 25^ 969 <br />Receipt for <br />Certified Mail <br />No Insurance Coverage Provided <br />Do not use for International Mail <br />arr~ ISee Reversal <br />Sent lopO0er1 t •/. f71 (.L DN~Ir <br />ll <br />b. NC ~~ O <br />Sneer a <br />O <br />P 0.. Aa ntl ZIP Code <br />-Ll I <br />L 6289f° <br />a <br />o r <br />Postage y <br />a <br />Ceruhea Fee ~•'v <br />Spacurpelnerv'Pee <br />~,Resvrued ONiMe~v'Fee <br />Return Receipt Snowing <br /> <br />io Wnom & Daie Debveied •' O <br />Return Receipt shpwing Ip Whom, <br />Data, an Address <br />iOT POSIa ~r <br />1 ~ /7 <br />~ <br />l <br />8F , <br />L <br />P ~ Date ~, <br />y ~~ ~a ~ <br />1 <br />~~ O ~ <br />C <br />S, <br />It"a %~ I <br />M1 <br />SENDER: <br />y • Complete items 1 and/or Z for edtlitional services. I also wish to receive [he <br />• Complete items 3, snd +a 8 h, following services (tor an extra e <br />~ • Print your name end address on the reverse of this form so that we can <br />O <br />hi <br />tl feel: 2 <br />rBNrn t <br />s cer <br />t0 you. <br />• Anach this lorm to the Irpnt of the mailpiete, or on the heck it space <br />1. ^ Addressee's Address ~~ <br />M <br />does not permit. <br />• Write"Return Receipt Requested"on the mailpiete below the article number. <br />2 ^ RestllCted DellVery <br />t1 <br />• The Return Receipt will show to whom the article was delivered end the date O <br />C delwered. COneUt ostmaster for fee. c <br />v 3. Article Addressed [o: 4a. Article Number ~ <br />m - - Z Y~o> So L <br />E <br />o MY _ ROL"aE?Yt W _ Hill 4b. Service Type <br />^ Registered ^ Insured ~ <br />~ D6MC ~ (Certified ^ COD ,~ <br />ryir P _ 0 _ BOX 268 Route 1 ^ Express Mail ^ Return Receipt for ~ <br /> Merchandise <br />o Waltonville, Illinois 62894 7, Date of elivery w <br />a ~ <br />0 <br /> <br />S <br />5. Signature IAddresseel T <br />8. A essee's dress (Only if requested Y <br />~ and fee is pad) ~ <br />F <br />L <br /> 6. jgRetyre (Agent ~ I- <br />YPS Form :Stfl l r December 1997 ou.s. oRO: tw~asz-n+ DOMESTIC RETURN RECEIPT <br />w <br />c <br />