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~;; <br />~ SENDER: <br />•COmplete items 1 enNOr 21or additional services. <br />I a150 Wish 10 reCBIVe fhe <br />m •Complete items 3, 4a, antl db. fOIIOWIng SQrvICeS (fdf an ' <br />~ •Pnnt your name end address on the reverse of this farm so That wa can return Ihia extra fee): <br /> wrtl 10 you. <br />•Anach this farm to the Irons of the mailpiece, or an the back it space does not <br />7. ^ AddreSSBe'S AddreSS ai <br />u <br />~ <br />y permit. <br />• Wnte'Rerum Receip! Requesled'on the mailpiece below the adicle number. <br />2. ^ Restncfed Delivery ~ <br />y <br /> <br />~ •The Ralum Recelpl will show to whom the erliUe was delivered end the date <br />ealivered. <br />Consult postmaster for fee. 6 <br />. <br /> <br />0 d <br />v <br /> <br />°' 3. Article Addressed to: <br /> <br />rNlt,uss•otu <br />a u <br />'~L +~ ~ ~ ~ 4a. Arficle Number <br /> <br />~ ~/a7 .3 t/7 070 w <br /> <br />E <br />°' . <br />~ <br /> <br /> <br />w _ <br />~/ <br />I O ~ Q ~, 5 C' CU hC~ ~ 4b. Service Type <br /> <br />^ Registered ^ Certified <br />d <br />~ <br />rn <br />w <br />tx <br /> <br />~ <br />~ ~(~Q ~ ^ Express Mail ^ Insured <br /> <br />R <br />i <br />Me <br />h <br />i <br />COD <br />^ R <br />t <br />t f c <br />.~ <br />~ <br /> ~y~ngQ <br />J urn <br />p <br />rc <br />a <br />e <br />ece <br />or <br />se ' <br />o <br />a 7. Date of Delivery ~ <br />Z T <br />~ 5. Receivetl By: (Pdnf Name) 8. Atldressee's Address (Only i! requested ~ <br />w and tee is paid) t <br /> F <br />~ 6. Signal <br />T <br />A <br />PS Fonn <br />1, December <br />or <br />~, p r '7 3E47. 070 <br />.SP1wEC. [/fy'd' rym, RTIFIED MAIL <br />Flli ~ ` -~`^'~ eNA ONAL MAI eEO <br />Sgnt lo~/~'tA <br />a S/}r} stet andJNO. <br />;. r,.l. ~ <br />i State and ZIP <br />N u.TGLYI C <br />Postage <br />Certified Fee <br />Special <br />ReslriCtetl Delivery Fee <br /> Return Receipr w"hver~ <br />to whom antl Dale <br />m <br />Return Receipt showing to <br /> Dale. and Address cl Delivery <br />C <br />TOTAL Postage ano Fees <br />~ <br />o Postmark or Date <br />m <br />n <br /> <br />ILL <br />a <br /> <br />5 <br />0 <br />d <br />G <br />LC) <br />r <br />N <br />Q <br />C <br />(~ <br />s_ <br />N <br />~/) <br />m <br />1;7 <br />r <br />I~ <br /> <br />