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<br /> <br />g- <br />C <br />`pP <br />rrrir~~rt <br />Iy <br />r? <br />~~. <br />i <br />t <br /> <br />t <br />v <br />..~ <br />`O <br />LL <br />N <br />6 <br />LM tM-BI-ao7 Aso <br />,p P 427 346 184 <br />~~, RECEIPT FOR CERTIFIED MAIL <br />~. NO INGGMNLE COVERAGE PPOVIDEa <br />NOT Fnq IN7ERNAIIGNAL MAIL <br />(See Reverse) <br />Sent to <br /> <br />Slreel antl No <br /> D ~' <br />o <br />P O.. Stale antl ZIP ' <br />G O O ~ !p <br />Postage 5 <br />Cenihed Fee <br />Spenat Delivery Fee ( <br /> <br />ResV4letl Delivery Fee <br />W. <br />Return Receipt showing <br />IO Whpm dntl Ddte Delivered <br />Return Receipt showing tp whom. <br />Date. and Adtlress of Delivery <br />TOTAL Postage and Fees S Jl:l <br />J (/ <br />Postmark or Date <br /> <br />r <br /> <br />• SENDER: Completsr3Aems 1 end 2 when additional services ere deairW, and complete items <br />3 end 4, <br />Put your adtlress in the "RETURN TO'" Space on the reverse aide. Failure to do thls will prevpni thla <br />card from bein returtpledto yyou.The rstutrrrece'rpp~~~~gpe~~Il orovidavouYhe name of tbeo roman slivered <br />9 <br />" <br />~ <br />'~ <br />ro end the date <br />tmaster <br />,.ot_deltvery..FOr edHaon fTeee tFE'idllo~"i mg aervt eaT are evelleTii <br />e: <br />ult p so <br />or ees an c o e for eddifionef servTce(ei requested. <br />^ <br />' <br />t. C,p Show to wdom delivered, dote, end addrlssea <br />S eddresa. 2. <br />Restricted Delivery <br />(Ettra eharge) (Exrro d+arge) <br />nicle Addrbssed td: 4. Anicle Number <br />~~a,,,e~ e~sat-~ ,8~~~. ~ ~a 3y6 ~s <br />p yo G Road „~o <br />~o y T-YQa o, sarvi~a: <br />, <br />Gs~'6ondale, Cp s~da,3 lJ Ragistend ^ rnsurea <br />~ Certified ~ COD <br /> Exprasa Me4 ^ Re(um Recai t <br />~ <br /> for Merchen <br />se <br /> Alweya oeteln agnaturo of addraaaae <br /> or spent end DATE DELIVERED. <br />iynatu ddress 8. Addressee's Addross (ONLY+j <br /> requested mrd fee paid) <br />Signature -Agent <br /> <br />7. Date of ry ~ ~ r <br />:a$71, ~ st ~~ESTIC aE~ <br /> <br /> <br /> <br />