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a <br />S <br />SENDER: CompleN 1[eml 1, 3, aed <br />Add your addreM ti ra• " <br />meraa, <br />1. The following servke 4 rtquened (check om.) <br />~. <br />^ Show to whom end date delivered........ ~ ~_ e< <br />^ Show to whom, date and eddrea of deDvery... ~.< <br />^ RESTRICTCD DELIVERY <br />Show to whom end date delivered......... .._< <br />^ RESTRICTED DELNERY. <br />Show to wham, dela, end addren o(delhery.f <br />(CONSULT POSTMASTER FOR FEES) <br />2. ARTICLE ADGR[pED 70: <br />7. ARTICLE DlSCRIPTION: <br />REGISTERED NO. CERTIFIED NO. INSURED NQ <br />~~~799 <br />(Alwrya obrem utan•ture of •d •u•• w event) <br />1 hcYC rrceived the erode dexribed above, m~ •• <br />SICNATUNE n C7Addrer a OAUNwliad epnr <br /> <br />~:, .. <br />+ <br />DATE OF DELIV E <br />RY .fD <br />Q ` <br />6. AODRE65 ICempleb mIY K nplwbdl +~` ~,` <br />~. <br />.~ <br />D. UNABLE TO DELIVER OECAUSE: CLERK? <br /> INITIAL4 <br />a <br />y <br />C <br />S <br />fT' <br />s <br />,. , <br />~. ( <br />RFfVRN TO"Iplw w~ ' <br />N ~ <br />pcra : teT•~m+wa <br />P119997S97 ~ . <br />RECEIPT FOR CERTIFIED MAIL <br />ND INSURANCE CDVEflAGE PflDVIDED- <br />NOT FON INTERNATIDNAL MAIL <br />sfRt~ o /o ~ ~ A ~~ ~ <br />P 0.51ATE AND ZIP CODE <br /> E RTIFIEO FEE <br /> w SPECIAL DELIVERY <br /> x <br />0 RESTRICTED DELIVERY <br /> H w SHOW 10 WHOM AND <br /> ~ ~ u pAIE Df UVf REO <br /> 4 <br />~ <br />W <br />~amw rO WHDM nau <br /> v, ~+ ~ AND AOHHI SS Or <br /> S rt a OLL (VERY <br /> ~ o w SUDW IU WHOM PNU UAIE <br /> ~ ~ e: 0[IWEREO WHN gESlgitl <br /> <br />$ o s n[IWERr <br />e: <br /> ~' ° SHOW 1~~'/NUM GAIL ANI <br />t <br />- <br /> DEYIELIVENY WII <br />' LO ES$ <br />,o tA[S~ICIFD DEL ERY <br />rn TO L'Pp5TACE~F 5 ~ <br />[ <br /> aE~oFL~j~~Lryi~'%~: <br />I <br />v YI <br /> . <br />IC; eye fF; i <br />~ JY O <br />, <br /> 1 <br />, <br /> <br />0 <br />LL <br />'~- <br /> <br />¢ <br />a <br />a <br />a <br />! <br />a <br /> <br /> <br /> <br />.. _ .., a,a date acuvercd..... •~.... <br />L~ Show to whom, dare End Eddre~ of dENYery..._ < <br />O RCSFRK'TED DEWERY <br />Show to wham End date dellvend............_< <br />^ RESTRICTED DELNERY. <br />ShIFw b whom, data, end addr•M of delirery.f- <br />(CONSULT POSTMASTER FOR FEES) <br />i MTIOIt ADD11LtKK-0 TO: <br />L A11T1DE! D[iCRMT10N: <br />MYItTEMD NO, 1_ CERTIFIEy NO. 1 / INA1K[D MO. <br />IAhv[Fa ob (/Iwn,'jfr-(MIy70-Jaa'•%/wklfo/n~o~fJ•(If /(aE•/^ a ewaTl <br />I have laeired the article dexribed above. <br />tIGNATURE (],1ddr<Mm L7Aalhatli`ed epnl <br />U <br />/ l <br />[ <br />. <br />^ <br />DATE OF ELIV FOtTM/LRK <br />~ <br />D <br />L. <br />r <br />~ <br />Q ADORES K N only 11 1 2 <br />C <br />J 1f <br />e. UNABLE TO DELIVER BECAU6 ~ Y '~~ ~I <br />1 <br />r ~ ~__.~a._ ~.. <br /> <br />r,,l„ n: , _ . ,, ., <br />tTcpo: P».rg6a.a <br />P11 `.?91.36316 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSUflANCE CDVERAGE PflOVIDED- <br />NOT FDfl INTENNATIONAL MAIL <br />(See Reverse) <br />s I~r ro ~ y~j _ <br />/ THE ET ANO NO ~ a - L! ~ ~( 'l 1 ~ ~ <br />P O.STATE AND ZIP CODE i <br />POSTAGE d <br />CERTIFIED FEE ¢ <br />W SPECIAL DELIVERY L <br />~ RESTRICTED DELIVERY e: <br />~ I <br />W SHOW i0 WHOM ANp ! ~ <br />r p = DAIF OEUVER[D <br />~ > ~ I <br />i W sHDw to wgDM Darr <br />S < ~ AND AOOBE 5501 ! <br />UEIIVERY <br />~ o $ SHDW IO WHOM ANU UAIE <br />~ ~ ~ OELWEREO w11H qE 51 RIDif L <br />i o s OEDVEPY <br />~` ° sHaw l0 wnuM DAZE AND <br />ADDRESS OE D[uvEgr wren ! <br />,o RESIRICIEO DELIVERY <br />r r.~~[e <br />a TOTAL POSTAG FEFP.~,`~~- <br />Q POSTMARK D~ ~ t. <br />s ~ Tbrl ~`r! <br />~~ e <br />.., <br />E ~,,, yy`~ :1 <br />~ tel. <br />