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<br />M1 iF ~ i~,X.:'~n~.~ <br />~ <br />~ <br />9.,SENDER:, - •- . _ <br />y~...r Complete Items 1 end/or Z for etlditionel eervlees. ~_, <br />~ . <br />.... <br />_~,',~'!;_ "`.~ <br />"' swrolil~y <br />i~~,~s~ <br />o .;, Cunpbte Irma 3, end 4a 8 b. <br />~ : t <br />, <br />~' •'lsrint ywr name end eddreae on the revaree o(~b }orm eo thet we~cen~~ ;,}pllpWlpp~ <br />tBOIYY;TTV `LL, f <br />~ retuB+ thle Gerd ro you. ~• ~ - .. '~~ <br />• Atre~h this farm to the Iront of the meilplece, or on the beck'it ipece . <br />~:1. ^.f <br />tloe~ no[ Permit. ~ <br />yia ~Wrhe"Return RecaiptReoueated"on the meilplew bebw the ertlde numbs. <br />' <br />~ • <br />~ F <br />Z <br />• Ths Retum Rsceipt wlll chow [o whom the Lnlde was dsllverod snd the date <br />~ dalivend. Fi+ <br />i,r <br />COneUII~ 1 <br />c ~ 3. Article Addressed to: ~ <br />« <br />m ~ 4a. ~ Article. Number <br />~ <br />d 3 <br />0'~"~_ <br /> <br />u ~,/ <br />~ C~"d. ~ 13D <br />~ ~ 4b. Servlce,Typs <br />oR eared. <br /> <br />f <br />: <br />`~~' <br />y <br />N <br />¢ . / <br />/ ~Lr~(~J <br />1 ~ Certi <br />ied ..~ <br />. <br />. <br />,i:, .; .. .. <br /> <br />~ <br />~ Wv <br />/ ' <br />~ <br />~ <br />, <br />7, pete.~p .Delivery <br />, <br />a ~i.~ , . ,~ i.W~'F; <br />~ <br />~ <br />~ 5. S~i9agto e 1 ddr e) <br />rte/ `. <br />~ 8. <br />.Addressees;Adi <br />and <br />fee Is~'8'idl'' <br />~ <br />~ <br /> .. <br />~ <br />, <br />~ <br />~ 6. Slgneture lAgent>,.: ~"• ~`J <br />''' <br /> <br />