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SENDER: I also wish to receive the <br /> e C�iplete Itlete ems 3,4a.and br additionalMMOee. following services(for an <br /> g •Prim your name and ad"as w tim reverse of thEs loon so that realm nW extra fee): <br /> L' card to you <br /> e ppAtttetach thy form to one rmm a the mexlpxaae,or on fro back apeoe does not1.❑ Addressee's Address <br /> ie Wdted'ROWM Receipt RaguestaT on the mellplece below the ertide number. 2.❑ Restricted Delivery <br /> 5 eTheR�m Receipt will Now to whom me article eves delrv«ad and the datedel Consult postmaster for fee. <br /> TL <br /> 3.ArGc!e Adtlressed to: 4a.Article Number y7 <br /> e Z 434 941 80715 Y <br /> n Mr Gary D Snook 4b.Service Type F <br /> E Adience Inc dba BM1 France ❑ Registered xM(CertiNed <br /> 8 27 Noblestown Rd ❑ Express Mall ❑ Insured c <br /> Carnegie PA 15106 ❑ Retum Paceiptfor Merdxamliss ❑ CAD <br /> 7.Date of Slivery 8 <br /> 4 7-zl E <br /> 5.Received By: (Print Name) 6.Addressee's Address(Only it requested Y <br /> end tee Is paid) <br /> 6.Slgnatur : (Add a rAgent <br /> T X . , /J <br /> e1 Po Form 381 f,December 1994 1e2595-W%0329 Domestic Retum Receipt <br /> C Z 434 94`k)80'7--� <br /> 7 <br /> US Postal Service I/e # 7731� <br /> j Receipt for Certified a1J ait-- <br /> W No Insurance Coverage Provided. <br /> ) Do not use for Intematfonal Mail See reverse <br /> cf� 1'ary ItSnook <br /> dience In dba B I France <br /> R, Street B Number <br /> 7 Noblestown Rd <br /> p� Post office.State,a ZIP Code <br /> arne ie PA 15106 <br /> Postage $ . 7 <br /> ti Certified Fee <br /> 1 <br /> -n Special Delivery Fes <br /> CD Resided Delivery Fee <br /> Return Receipt Sho 1p <br /> ,..i Whom&Date Deli" <br /> Dae,BAddress ee Ad�ddess 7Qr - n <br /> TOTAL Postage d FeN <br /> 40 Pustmarkor Date N, <br /> 0. <br /> ' a <br />