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a <br />a <br />2 <br />E <br />a <br />S <br />Q <br />O <br />O <br />LL <br />a <br />Z 4L6 952 493 <br />Fi'eceipt ~L ~ <br />~,f <br />~ o In k ge Provide •~ <br />u or International M <br />.oa,u°.rv aid' <br />See Reversal C.~ <br />io <br /> <br /> <br />as <br />St~i eta. <br />P O, Stale na r~'~p C~ ~O Sv{ V <br />.° <br />1y <br />Y <br />Povag <br />r <br />Ceniliea Fee <br />Special pelryery Fee <br />Pesintletl Delwery Fee <br />r ~ <br />Pe ~ <br />~ro Whom;6~pQf ~' <br />eeimn a,'p~~p(Snowing ~o Whom, <br />Date, n Aatlressee's Atltlress <br />i0i Postage 5`~ j'~a <br />Pon k or Dale <br />1 <br />, ~ ,y~ <br />"~~ ,~~ <br />. <br />t~ <br />G <br />p.: <br />O <br />ft <br />m SENDER: <br />na •COmplele items 1 and/or 2 for atltlidonal cervices. I also wish to receive the <br />o •(:omplNe items 3, IB, end fib. fOIIOWIng SerVICB3 (}Df an <br />m •PrIM your name end address an the reverse of this loan so t hat we can return thls axffa fee <br />~ <br />o <br /> care to you. <br />•Adech This roan tome nom of the marlpiece, or on the back if space does not 1. ^ AddresSee's Address ~ <br />~ <br />m •W e!Herum natal r Re uesred' on the mail sera below the anicle number. <br />p v p <br />2. ~ Restdcted Delivery <br />rn <br /> •The Return Receipt will show to whom Ne anid• was delivered end the date <br />~ delivered. Consult postmaster for fee. w <br />0 <br />v <br />d <br />3. Article dressetl to: <br />- <br />r <br />'~ <br />Article Number <br />a <br />a3 <br />a <br />w <br /> rv <br />~. <br />ic ~(o~Qu~.z 5 <br />~ <br />C~ <br />E Y~ <br />, .~. , ,,,.1.., , „-, G a..r~v <br />~~ , n 4b. Service Type <br />u ~ <br />Q <br />4~ (il (a, ,r~,,, r,'~'~~1~`~' t •~•ll~+~ <br />1J'V h1.67 <br />v u~- ^ Registeretl ~ertified <br />a <br /> r. <br />l to ^ Express Mail Insured 5 <br /> <br />~ \ ' 1 <br />4~A.~,~(}'(\f~ ~ ~~Sy,~ <br />^ Return Receipt for Merchandise pCOD a <br />°c u _ <br />~v/ ~i/f~~~w 7. Date of Delive <br />~- ~-~ <br /> >, <br /> 6. Received By: (Print Name) 8. Addressee's Address (Only i! requested ~ <br /> and fee is paid) t <br /> t- <br />~ 6. SignaNre: Addressee rAgenlJ <br />0 <br />T <br />Y <br />N <br />PS Fonn 3811, December 1994 <br />