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. SENDER; Complete items 1 and 2 when adtlltional services are desired, antl complete items <br />3 and 4. <br />P.ut youY Btftlress in ih'e "RETURN SO" Space se~side. Failure to do this wIp pr¢vegt r Is card <br />d i <br />d <br />~M~ <br />Qe ou the name of the erson delivere <br />o an <br />/rom,being returned to you. The return recei t fee wi <br />the tlate of deliver .For additional ees lh~e of owing serr ees are avaJable onsuh postmaster or ees <br />an c eck boxfes or additional sermce~sl requested. <br />1. 'Hr Show to whom delivered. Q'a~,.and addressee's address. 2. Q Resrricted Delivery <br />~ <br />(Erna <br />eJ (Fora charge) <br />3. Article Atltlressed ro: ^-~ ~ ='9 Article Number <br />~~ ~~7 <br />~ <br />e~ d~O ~lrl; r;~ <br />/ <br />~ f <br />7~~ <br />J <br />I~t $IU <br />i~ 1 // X <br />~~S' ~,QS~ Nor-(' 1'e/Tl~~~' Type of Service: <br />^ Registeretl ^ Insuretl <br />p n <br />GI C-E~r <br />~~ ~ ~~ <br />~ Cettilied ^ COD <br />^ Return Receippt <br />/ <br />V r Li Express Mail <br />for Merchantlise <br />r~f ~ La~/p C(~// ~ r ~~ [,~ ~ <br />l r~ l~ ~y Always ~ain signature of addressee <br />Y <br /> or agent: <br />{nd DATE DELIVERED. <br />5. Signature -Addressee 8. Addressee's Address (ONLYij <br />requ~sled and fee paid/ <br />X 1Q -'~ <br /> <br />6 <br />Si <br />nature - <br />ent ~ <br />.. <br />\ <br />~~ <br />. <br />g <br />g v <br />_- <br />_ <br />. <br /> <br />7, ate of Dell ery l <br />v ~ ,1 a_' <br />~ <br /> ~v •_ <br />P.S+fErdiR4'~8!. ~, - ~ ~ . sS10*s'C. , ;jpe`!' S C I <br />J <br />., <br />'. .• .. '~.. ,,n .:.~.~": •:; '.:. :_.: cis + t <br />P 76'7 449 487 <br />N <br />m <br />m <br />d <br />0 <br />m <br />IL <br />a <br />RECEIPT FOR CERTIFIED MAIL <br />C~~~~~ INSUPANCECOVERAGEPNGVIpEa ^,t~ <br />NOT FOP INTEPNATIGNAL MAIL ~{ <br />(See Reverse) <br />soot to !di Idy.~ a~~; Id S <br /> <br />SVee1 and o. <br />SS Lil. A-fl+fPnp I2. <br />~ <br />'Tr; a ek"r S 3S0 <br />~~ <br />P~S{Ia~a~ntl ZlP Code U~ ~~/~~ <br />/ <br />- <br />C C, <br />Postage S <br />Certified Fee <br />SDeaal Delivery Fee <br />Resmcte0 Delivery Fee " <br />Return Receipt showing <br />to whom and Date Delwered <br />Return Rece~pl showing to whom, <br />Dale. and Atldress of Dehvery~. ' <br />TOTAL Postage antl Fees g~r+ s <br />y .,\ o ~ <br />Postmark or Dale <br />~ <br />( <br />( C 1 ( <br />'~ ( <br />( <br />! <br />I <br />F'- <br />.J <br />i~ <br />'D <br />ti <br />-~ <br />3 <br />IV <br />1 <br />Cn <br />:D <br />7 <br />D <br />.7 <br />X7 <br />v <br />~ - <br />