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Z 268 ~,33D202C <br />US Postal Service PP~tl ~]~d~ v "~~~0~ <br />Receipt for ~~~i~e atd'Alr'I ao <br />No Insurance Coverage Provided. O <br />Do not useJor International Mail /See/eversel <br />u <br />cc <br />_( <br />C <br />C <br />Q <br />C <br />i <br />u <br />u <br />a <br /> <br />o SENDER: <br /> <br />o <br />.Comdata name t Mdor 2 tar eddlaaW serNCSS. I also wish ro receive the <br />a •Complele llama 3, ba, end bb. foIIOVAng SafVICBa (fOr en <br />e • Pdm your Hems end eddrem on Ne reverse of this brm w that we can return tfve Wdra foal: <br /> card to you. 8 <br />~ •Mech this form to the Iron) of the mWlpiau, a on lhs bsrA it apace does na 1. ^ Addressee's Address <br />~ pemit. <br />•Wnte'Refum Reoaipf Regwsfed'on the meilpiece below meanirae number. <br />p.^Restdcled Delivery o <br />y <br />~ •The Relum Receipt will show to whom the adide was delivered and the tlate <br />~ delivered. Consult postmaster for fee. <br />o <br />v <br />~ <br />3. ArECIe Addressed to: <br />4a. Article Nu er <br />33 <br />t <br /> (~,„,„ „(~ <br />I ~~~ <br />~ z a <br />o ~ <br />~, e <br />E ' <br />'""' ab <br />Service T <br />e ~ <br /> a yp <br />. <br />ii ~~Lp-7t(~h,~~ ~. 4Q„ ^ Registered ~ Certlfled <br /> _ <br />~P/~JG t_ J/J ~~ /r~, <br />~"LIJLCG <br />p ! <br />l/~ <br />^ 6tpress Meil ^ Insured rn <br />5 <br />a <br /> t <br />- <br />t <br />n / ^ Rehm Receipt for Meldiandise ^ COD ° <br /> C <br />~ <br />~ ,\~^, <br />I t_ ( 7. Date of eliv <br />ry <br /> D <br />~ <br />~ _ <br />e9~~ <br />~'/P^"'r' <br />~S ~7 60 = <br />~ <br />0 <br /> U a <br /> 5. Received By: (Print Name) 8. Ad ressee's Address Only fl roquesfod ~ <br /> and !ee is paid) <br />6. Signs' <br />i. Y / <br />e '~~ <br />PS Form <br />tto <br />( S 41 <br />J Q~/Qer <br />I /nA 9 <br />C <br />. Hole <br />P OHi , Stat , 8 I od C <br />~ ~. a <br />Postage 9 a ~~ <br />O~ r <br /> - <br />-l N <br />Certified Fea c O <br /> <br />Spedal Delivery Fee <br /> <br />Restdcted Delivery Fea <br />l <br /> <br />~ Return Receipt Showing to <br />' <br />~~ ` <br />t]) <br />Whom 8 Date Delivered <br />Realm Pecegl Showrg mWkm, <br />I Dale, 8 Atldessee's Adders <br />TOTAL Postage 8 Fees <br />I S ~ v <br /> <br />~ Posbnark ar Data r <br />1025959]-e-0I]9 <br />