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m <br />a SENDER: <br />.Complete items 1 enNOr 2 for additional aervirss. <br />18150 Wish t0 reCeiVe the <br />W <br />m •Lomplet0 item9 3, 49, antl 4b. fOIIOWIng ServICBS (f0f 8n <br />•PriM your name end address an the reverse pt lhia form so Nat we can return ttMe eXtfa }ee): <br />~ <br />~ card to you. <br />.Mach this loon to the front of the malpiece, or on the Oatlc it space does not t, ^ Addre55e6's Address <br />'~ <br />y • W e~Relum Receipt Requasfed'on the mailpiete below Ne ankle number. 2. ^ RBStdcted DBlivery y <br /> .The Return Remila wiA show to whom the aside was delivered and the date <br />deii~eretl. Consult postrnaster for fee. <br /> <br />. <br />~ <br />d//dressed to: ~~~~~ <br />3. A~NC~nIe]A <br />4a. le Nu bar l/J~ ~~ <br />~~ <br />J ~ <br />c <br />S \\ <br />~, W`Xrl~ 1 <br />Service <br />4b <br />e u <br />°u ~~~/Y /J' l9 i/t`rO~~]~-~ <br />__LL <br />JJ t <br />v . <br />yp <br />~ <br />^ RegistBred ^ Cerfified a <br />' e ~ ~ <br />/ <br />~ <br />~ <br />~~ ^ impress M P ^ Insured <br />^ Realm Recei t ror Merchandise ^ COD o <br /> t <br />1 n,~ ~ /~ _ Qfl„21( <br />l <br />l (G( <br />I <br />('7/ CTAJ-~'~ 7. Date of Delive ~ <br />- F 9 ~ <br />0 <br /> v <br />I <br />V <br />5. Received By: (Pdnt Na ) 8. Addressee's Address (Only it requested ~ <br /> M ~ x v _ 5 ~~ ~ ~y ~~- and lee is paid) r <br />g 6. Signature: (Addressee o - <br />~ T <br />~ <br />~ <br />m <br />- ' <br />Ps Porrn 381 , December issa- Domestic Return Receipt <br />4'pCC. <br />Z 4 34 - ~iy~ 5 q~ <br />US Postal Service '~ <br />Receipt for Certifie `I <br />No Insurance Coverage provided. <br />n,. "'___ <br />S ~~_ <br />Pa9aye s <br />?t <br />f:ertified Fae <br />.~ J <br />Spatial Delivery Fea , F1 CQ <br />Realm Recaps Sh 9 <br />Whom 6 Dale Deft tl )On., t <br />Postage d Faes I ~ ] <br />r <br /> <br /> <br />0 <br />LL <br />y <br />a <br />