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U.S.Postal Service <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only; No Insurance Coverage Provided) <br /> Er <br /> C3 <br /> m WALSID'IBURG. CG GIOR9 <br /> In Postage g 0.57 BRIT IN 0641 <br /> IS• <br /> cenieaa Fee 2.I6 G� M1.rU0" <br /> 7 ReturnReceipt Fee 1.5 •'� <br /> d (Endoreement Requited) <br /> O ReabictedDoWeyFee Cll��_ KHG <br /> C3, (EntlorsemeM Requited) @@ ` .a <br /> O Total Postage d Fees <br /> IL <br /> nu Name(Please Print Clearty)(To be wmpletetl by <br /> rn A"..— {/6'.?ijmMD_50I[-Ca�se�(Yt7�oe-•D/Sr-_. <br /> O- Street,Apt.No.;or PO a"No. <br /> Er. s�p�drg7 ------------------ ------ -- -- <br /> 17, CI ,Stetq ZIPS 0 c <br /> t.� A L • GD D ��0 <br /> 9ZH-jIQf;tGff� COMPLETE THIS SECTION ON DELIVERY <br /> :t. <br /> . ■ Complete items 1,2,and 3.Also complete A. Received by(Please Pri earl) B. Date of Delivery <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C. Si e <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, / ❑Agent <br /> A <br /> or on the front if space permits. ❑Addressee <br /> D. Is delive4 address different from item 19 ❑yes <br /> 1. Article Addressed to: If YrS,enter delivery address below: ❑ No <br /> pv.et 14-k LL-444 So; ' Co nl . <br /> 3. Service Type <br /> WA-fY /� J�G_/ ❑Certified Mail El Express Mail . <br /> CN J t / ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O,D. <br /> 4. Restricted Delivery?(Extra �- ❑yes <br /> 2. Article Number(Copy from service label) <br /> 0 3a�U 000 f64f 30C t) L/Cp�iE <br /> h PS Form 38111,July 1999 Domestic Return Receipt /,/ 102595-00-M-0952 + <br />