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iii iuiiiiiniii iii <br />7 <br />R <br />P <br />C <br />0 <br />5 <br />•ConWtm ntatr 1 ena« z 1« adtitiond aarvk••. <br />•COrtpl•t• It•rtr 3, 4a, snd 46. <br />•Prka your name end etldnaa on; 1e ravens of this 1«m ao bal we un velum Chia <br />urd to you. <br />•Anech this form to the hom of lha rneilpiece, «on nr Wtlt it eDeu does not <br />perch. <br />• Wdte'ReNm Receipt Requested' on the meilpiem blow dra anitle number. <br />•The Relum Receiq will show to whom the editla was deAvend rNtl tM dale <br />delivered. <br />3. AreCle AOOrpeS(1 ro:~/,~ / ~ <br />1894 <br />~~06 <br />~`-) <br />g 6. Sig <br />a°. X <br />~ ~ <br />PS Fo <br />m <br />rn <br />C <br />O <br />t9 <br />E <br />o` <br />LL <br />N <br />o_ <br />I also wish to receive the <br />tdlowing services (ror en <br />exha fee): <br /> <br />1. d Addressee's Address 8 <br />Z <br />2. ~ Restricted Delivery rR <br />Consult postmaster for fee. ~ <br />rflber~~ <br />~ ~ <br />~ <br />2~~ ^ ev.aurnce irpe <br />-(J m <br />1 ^ Registered Certified <br />^ Express Mail ^ Insured ~ <br />^ Retum Receipt for Fderchentise ^ COD <br />ive <br />~-7 - C90 <br />a, <br />Addressee's Address (Only i! requested ~ <br />and lee is paid) <br />x92595-9]~B-0t]9 <br />P 4 3 6 7 8 4 3 31 //~v111~~~~~y~ <br />US Postal Service ~ ` <br />Receipt for Certified Mail O/ <br />No Insurance Coverage Provided. <br />Do not use for Intemationa! Mail See reverse <br />nl to o~ G. t3AxY~2 <br />i K <br /> <br />Stne~mtp{ ~ Q • <br />~J ~/n <br />., <br />a V <br />Post ,SUte,B a <br />ry <br />OW <br />a <br />Postage $ <br />Certified Fee GI/ <br />Spedal Delivery Fee <br />Aestdded Delivery Fes <br />Relum Recelq Showing b <br />Whom d Date Delivand <br />Realm Reeipt ShDeng to wlnm, <br />Dam,6MNeuefsAdNess •. ~-~ 1 <br />TOTAL POStega6Feea a .'/ <br />PosMark Or D~pO ` - <br />v (. <br />