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SENDER: <br />• Complete items 1 andtor 21or atldtl~onal services. <br />• Complete items 3, 4a, end 4b <br />tr Print your name and atltlress on the reverse of this form sa that we can return this <br />cartl to you. <br />• Attach this loan to the Iron) of the mailpiece, or on the back it space does not <br />permit. <br />. Write 'Relum Receipt Re4uesletl' on the mailpiece below the article number. <br />. The Return Receipt wdl show to wlrom the aNGe was tlelrvere0 and the tlale <br />tlelivereo. <br />3. Anlrc~l-e Ad~ sse o: - 4a. Article <br />PQy- 1~~~_c~~ ~~'' IIr, 4b. Servia <br />lag Ll~j µ/ ^Re 1 <br />6 ~ ( ^ <br />I also wish to receive the <br />following services (for an <br />extra fee): <br /> <br />i. ^ Addressee's Address U <br />• <br /> <br />2. ^ Restricted Delivery Z <br />m <br /> <br />Consult postmaster for lee. c <br />c..~ ~..(~,(y..y p u tm n Receipt <br />U llJl R/ ~~Y' <br />5. Received By: /Sins Name) <br />6. Slgnat <br />PS Form <br />or <br />1, December 1994 10259599-90229 <br />N US Postal Service <br />°~ Receipt for Certified Mail <br />O No Insurance Coverage Provided. <br />V Do not use for International Mail See re <br />Senuo <br />y Street 6 u <br />c a.l~~8tb' <br />o P afi~a, te, a ~ b.~ <br />r <br />.~ Postage ~ <br />N F <br />Certified Fee f40 <br />~ SpeliiaJ Dative ~ _ m <br />P 436 765 345 m N <br />c+~ eft: <br />,-. -- ~ <br />Certified <br />^ Insured ~ <br />^ COD ~ <br />o <br />'o <br />i! requested a <br />r <br />C±~ I TOTAL Postage 8 Fees I ,~ J Gy <br />