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.~ . <br /> <br />M-~-loo <br />(~,,,,, ~ ~,~ P1J~ <br />A~.ca,,,EQ,~~ A -~-( <br />Cep--~.~~- (~J„ 1~,` <br />~, 1 i <br />6~ WU~CPi U.~ <br /> <br /> <br />Z 443 1917 153 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Dn not use Inr Intamatinnal AAail /.Sea reversal <br />Q <br />O <br />O <br />to <br />M <br />ILL <br />fn <br />Se to <br />CAL [z0 ~ -J CC.~u.6u 5 GtrA <br />Street 8 Num er <br />C,dv vs~ <br />dot L kR <br />Post Othce, Slate, d ZIP <br />t' co otle <br />f ~ <br />Postage $ ; L <br />Cerfiged Fee ~ ~ 5 <br />Spedal Delivery Fee <br />Restdded Defvery Fee <br />Retum tjeceipl Showing to <br />Who b Date Delivered •~ <br />i ~ <br />ReMnFleceipl9oavg to Wham, <br />Dale.6-Mdesseas MNess ~ ` <br />r <br />_, <br />TO;AL'POStage G s <br />vS L v }'~' <br />Postmark Or Dash? <br />\ /~/ <br />~'©/ <br /> <br />%~. <br />Li~- <br />o SENDER: <br />o •Camplete items 1 and/or 21or additional eervicae. I also wish to receive the <br />n •COmplete items 3, aa, end 4b. TOllowing SBrviCBS (fOf an <br />~ • Print your name end address on Ne reverse of Chia form so Ihat we can return tNa BXtra fee <br />~ <br /> tare tc you. <br />•Mech this loan to the hoot of the mailplece, or on the 6atlc if cpaca tloea not <br />i <br />7 , ^ AddreSSBe'S Address u <br />~ <br />m perm <br />t. <br />• Wdte'Relum Receipt Repuested'on the mailpieoe below the enide number. <br />p. ^ RBStdCted DBlivery ~ <br />y <br />~ eThe Return Receipt will chow to whom the enide wag delivered an tl the tlate <br />~ delivered. Consult postrnaster for fee. a <br />o <br />a <br />3. Article Addressed to: <br />4a. Artcle Number R <br />& <br /> <br />n GAti~ ~~ v <br />C~-EWt.E / f ~- 4'9'3 t o l~ 3 <br />E <br />~ <br />'p ~jl, CO vw <br />~l ~w1 f N. pss r, ab. Service Type <br /> <br />^ Registered fl~Certified <br /> <br />17LL7"v~ (,t)/i/l"'/ ~,pv R`(~pVS~ <br />^ Express Mail ^ Insured m <br />~ <br /> <br />~ h I <br />~U ~ I' A LWL~z S ~_ S T'E ZT" ~ ~.Retum Receipt for Merchandise ^ COD <br /> <br />~~ irk GO 814-i G 7. Date o112elive <br />J -(~ <br />'o <br /> T <br /> 5. Received By: (Print Name) 8. Atldressee's Address (Only it requested ~ <br />F' and lee is paid) <br />r <br />g 6. Signature: ddres orA t) <br />a°. ~( <br />4/C'~' <br />e <br />- PS Fonn 3811, December t99a 10?595~9]~e-0~]9 Domestic Return Receipt <br />~~ <br />