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RECEIPT FOR CERTIFIED MAIL-30¢ (plus poste <br />Ci <br />u9 ~ <br />~.e/ ' <br />~.~ ~ <br />~~ <br />0 <br />z <br />~L,y~./ -/(/L* [ OP DATE <br />-SENT TO ~ ~ /~j/J^~!'+LS(i+^~r(i~C/ POSTMART <br />i STRE/ET~ANJO~NO~~(Q <br />rP.O. ~5~ TA' Nir-f P L~ -~-I~ .T I '"Y O~ ~ - ' <br />SM1ers to sl~oltrCnd Fate delirerad ...... .... 1St <br />t J <br />. <br />RETURx Wnh restricted deliver, 65V <br />RECEIPT <br />z. SM1Srs le ahem, dale and rhere delivered ,. 35p <br />SERVICES With restricted delivery 85! . <br />REST RICTED DELIVE RY SO! <br />SPECIRL DELIVERY (extra Fee re RUi red) <br />PS Form NO INSURANCE COVERAGE PROYIOFD- (See oMu ride) <br />3800 <br />Aug. 1975 NOT FOR INTERNATIONAL MAIL <br /> {3 G1D. 1915-0391 a52 <br />N <br />3 <br />m <br />a <br />- -. .. .. .. .~..r..~...r <br />~ SENDER: Complete items 1, 1, and ;. <br />Add your address in the "RETURN TO" space on <br />merx. <br />1. The Following service is requested (check ane).~5 <br />Show to whom and date delivered....-.... _.~ <br />Show to whom, date, & addrcv of delivery.. 35~ <br />RESTRICTED DELIVERY. <br />Show to whom and date delivered ............. 65j <br />'Q RESTRICTED DELIVERY. <br />Show to whom, date, and address o! delivery 85( <br />2. ARTICLE ADDRESSED TO <br />: <br />~ ~~ ~ ~J - <br />~ <br />~~ L.CxY"r-~"~«C-L~ <br />3. ARTICLE DESCRIPTION: <br />REGISTERED NO. CERTIFIED NO. INSURED NO. <br />~~v0 <br />• (AMrYf ts4hln • stun a rddnuer or aprrD <br />I have rued the article described above. <br />SIGNA7U ~ ^ Addressee ^ Authorized agent <br />J~~i~ <br /> <br />ATE OF DELIVERY ~OZTMARg <br /> Q <br />5. ADDRESS (Compbb only if rpuot fd) e~wQ <br />P~ <br />1 <br />~1~i1~~ w 1Z <br />6. UNABLE TO DELIVER BEUUSE: <br />i <br />1 S <br />j <br />T} r•0V:1 203-a58 <br />