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~ <br /> CERTIF IED'M% <br /> <br /> (OomeaNc M ailOnlg Ns <br /> <br />r <br /> <br />] ~ <br />u - <br />-- <br />rl Postage S r ~ rT S('u <br />] <br />] <br />] Certified Fee <br />~?• 3 o ~T//s[~ ~\ <br />L <br />~ <br />tm <br />] Return Reciept Fee <br />(Endorsement Required) / ~ ~ ~ <br />h Y <br />nr <br />I 1f <br />q 1 Hora <br />\ <br />' <br />] <br />rl Restrcted Delivery Fee <br />(Endorsemem Required) ~ \ <br />f <br />CQQl' I/ <br />-. ~~ <br />L <br />I Total Postage 8 Fees ~ d <br />u <br /> <br />] <br />] \ <br />Sent TO ~,~ ~(~L ~2~LV <br />~r,~.-~ v,= <br /> S(reel, APL NC.; /; OA.lD J?-~La J-""~'JT'n, S)/O/PZ,{ <br />~. (~ ~ <br />' GERTIFIEU MF <br />(DomasNc Ma`NOnt1= <br />C7 <br />ru - <br />~ Postage S <br />~ Certified Fee ~J 7 l <br />O O( .l C/ ~ <br />~ Reurn Redept Fee ~ /,' <br />~ (Endorsement Required) ~ <br />cP <br />O ResMctetl Delivery Fee <br />m (Endorsement Required) <br />° $ . ~S/ <br />~ Total Postage 8 Fees <br />11.1 <br />~ Se t io / /, <br />f~ Sireei, Apr. NO.;" ~/c 1~PN2 PJ/a 7. <br />or PO Aar No. _ p,~/ r/ /J //a~ > ~ .. . <br />~ •~ <br />M1 <br />o /• <br />0 <br />R1 - - <br />u1 S <br /> Postage r <br />~ Cedibed Fee D ^~~/f ,.\ <br />Q <br /> <br />~ <br />Return Peeiept Fee <br />(Endorsement Requiretl) <br />/ ~ /~ <br />~ ~/ 1'ue~mork <br />~ <br />Q q <br />cq <br />W tO'" a <br /> „ <br />y <br />O <br /> <br />17 <br />Restricted Delivery Fee `- u ` -, 3 <br /> <br />m <br />(Endorsement Required) ,~ <br />~~. <br />/ <br />o <br />I7.1 Total Postage 8 Fees L~ <br />,$ ~ / e\ <br />/~• ~' ) f `- <br />IU ___ <br />Q soot TO <br />USDA /=~~rJ- ~ <br />J P•Pv~e <br />o <br />M1 z <br />SlreeG Ap(. NO.~"""pl.fiP- SAN. 3`~A ;'77~Z~~.U 7: L-.. vipJi <br /> or PO Rox No. <br /> City, State, ZlPa4 /~ P 4~0 ~ C ~ ~ ~~QV <br />S <br />r <br />~~ Ma M1 Postage $ <br />EAMa <br />O m ~( p <br />a~r.tmork y~ ~ Certified Fee q~~ 3~ ~~~ <br />~j m <br />ciJ P.~ost^~ cP <br />N ~ "mo ~ Retum Receipt Fee C' ("' N " `Y ~ 't7 <br />~ (EntloBement Requlre~ ~' ~`J deg ~~ <br />~ CI ^ ~ N r <br />O ResMtled DelWery Fee ql \ <br />s p~,. r ~ J O (Endorsement Required) ~ ` ` r ~ , <br />O Total POStageB Faes ~ •~~~ +p• <br />I1J <br />PC/ ~f>`/P T~ ^/ J ~ J d~0/~3 <br />0 <br />m <br />S <br />N Postage S ,rj $ P <br /> ~ <br />S Cettified Fe@ <br />S ~ ~ _ ? <br />SEP <br />O RetumReceiptFee ~ '~S 1~ <br />(Endorsement Required l1J <br />N <br />C] Restnctetl Delivery Fee 7p <br />~.n ~oOL <br />O (Endorsement Required) ~- <br /> dd.. ~ <br />O Total Postage & Fees .p F = <br />ru d <br />i+l AecipieOt'S NaT¢ ( Please Print Clearly) (Ta be completed <br />0 <br />~ Street, Apt. No,; ar PO box No. <br />Clfy, Stel1e~, IIP+4 <br />f` /-.G o rr Y ~ /rid u,v c/i T X 7.50 2 <br />fL <br />m <br />0 <br />0 <br />M1 <br />'Name (P/e sa /Print JClearly) (TO be completed by mallet) <br />Sneet, Apt. No.; or PO Box Na. <br />Clly Stele, Z/P+ 4 <br />~~.~ rppsP Coo d'ia ~ <br />:rr <br /> <br /> <br />.. <br />Postage $ ~~ SPG <br />0 <br />~~_ <br />Certified Fee ~. ~ ~ / <br />( <br />~ / U~!" ~ , <br /> <br />Retum Receipt Fee <br />/ ~~j P ark <br />UJ I{ a <br />(Endorsement Aequired) ` <br />~ <br /> yP <br />2002 <br />/ <br />Restrictetl Delivery Fee <br />(Endorsement RequeedJ \ ~ <br />/r <br />~r <br /> pp / S rrJ <br />total Postage 8 Fens .7T ~Z <br />/ <br />Heclplenpot's Name/ (Pleas <br />Print CI arl~y/) (TO be comp/etetl by mailer) <br />6lreel, Apt. No.; or PO Box No. <br />CIry, Slete, ZIP+C D.tI CY P~ ~X ~~`~ / <br />M1 <br />S <br />S <br />t~ <br />!11 <br />S <br />O <br />C] <br />O <br />0 <br />ru <br />ill <br />0 <br />0 <br />O <br />O <br />fti <br />