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S <br />N <br />r <br />~~ <br />i' <br /> <br />Y: CaelpNU ilYaM f, $, 3 elm I. <br />aeon lhi~ <br />d <br />P <br />~ 1 <br />1~T~AN Tom' <br />. <br />W <br />uc yppP <br />t <br />nve' .'fHRuw ro do this will pravem this card tram <br />Oeillpae~Ulaela'10 qOY. ~rerurn,'aceiPt tea will PrOyide:.. ,. <br />{rCts the iutn~ ai epe~aon~a sverad to entl the daH or <br />tlN`~. FOra~dilidnal faM MefOiiowin93ervicasVr/ <br />aveilehle. 60nwlt pos[msstar for fns and check boxlasl <br />1praNVicalSlrpuptad. ' <br />C <br />1. Show ro wnom, data end address or delivery. <br />2. ^ Rasirittatl Delivery. <br /> <br />3. Article AddraalW to: <br />-.w, . ~oQv~, G Q~~ <br />J 4 y o n! • Tc~ L1 JLQ ~°'~ <br />~~ - ~o • 405 21 <br />~. Type Ol Service: Article Number <br />~^ egistered ^ Insured ~ t1 L ALL <br />z ~ <br />~ <br />)<7CCersified ^ COD D <br />D 5 <br />~O Express Mail <br />Always obtain fl9nature of address Qr agent and <br />DgTE DELIVERED. '"' <br />5. igna[ur A ressee _ <br />' <br />_ <br />6. Sign ur - ge <br />J. <br />)C '~~ <br />7, oars or i,Yyverv _: i~ <br />.I71r f i <br />8. Addressee+tA tlress( NL if)eQileStl d fC Pg <br /> <br /> <br />e• <br />0 <br />fll <br /> <br />s <br />r _.. <br />P 652 676 22.8 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />~ Lt (See Reverse) y, I ~ <br />Senl to <br />1. <br />Street end No~ <br />r ~1 ~ ~ N <br />P.O., State and ZIP C e <br />iC521 <br />Postage s <br />cemned Faa <br />t <br />SDeclal D It'erY Feb ~ - ' , <br />,~ R. <br />Restricted Dellvery Fee <br />Return Receipt Showing <br />to wnom and Date Delivered <br />Retum recelDt stgwing t0 whom, <br />Date, and Atldress of Dellvery <br /> <br />TOTAL Poetege and Fees YY <br />=~ 7 <br />Postmark t ;'. ~. <br />~rlC <br />r <br />' <br />-~+W~7i <br />J <br />J <br />n <br />( <br />b <br /> <br />