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P 068 279 670 <br />O ~ <br />~ /'RECEIPT FOR CERTIFIED MAIL <br />M1 i NO INSURANCE COVERAGE PROVIDED <br />O' ri\ NOT fOR INTERNATIONAL MAIL <br /> <br />m <br />O <br />n <br />0 <br />MTT vi <br />X, <br />~a <br />~m <br />m <br />m <br />MLL <br />~d <br />^l <br />ppo++ E <br />s4 <br />~a <br />(See Reverse) <br />sent ip ~,~ h ~, Kti e z <br />Street entl PJq,o ~7 ~-.! <br />/.c. r /'~/` L~~/„ <br />tCi <br />P.O-, State d ZIP Code <br />/ p'/ <br />0 c%o'to <br />Postage !tt^ r <br />1.=7 ` f ~ S <br />1 ~,~ <br />Cerlllied Fee <br />r, <br />Special Delivery Fee J ~J <br />RastrfoteC.p lira d31~J ~~ <br />Return Receipt Showing <br />to whom and Dale Delivered <br />V~.Srn~ <br />Return rocelpf showlnp to wlwm, <br />Date, and Adtlress of Delivery <br />TOTAL Postage and Fees S <br />Postmark Or Dale <br />AUG ~~~~ <br />`fir; <br />~ ~ SENDER: Complm itaffn 1, 2, 3 etW 9. <br />i <br />Put your etldree in the ••RETU RN TO" rpeca on the <br />reverse ride. Felluro to tla thir will present Mis cerd from <br />1 bainp raturnad to you. Iha return realPt foe will orpviW <br />tiW tM rwne of the Parson r1N'sered to end th ate pf <br />t dNrvw. Far WAftional lee tha follrTylna prvica ara <br />avd4bla COMUIt portmeter Tor fee entl check. bodes) <br />for ervlcalrl requerod <br />1. ~ Show to whpm, tlete and edtlrass o/ delivery. <br />Z. ~ getrictstl Dal ivory. <br />3. Artit le Atldresed to: <br /> <br />~ccu ~ gi~a~ <br />4. Tyq o! S ca: grtiUa NumDar <br />^ Registered O Ireurad <br /> <br />Canified ^ CUD <br />EaDrm M <br />il PT p <br />V~ v~ ~~ ~o <br />a <br />Always obtain siglyture of edtlresseayLagant and <br />DATE DELIVERED. <br />5. Sign to dr <br />6. Sian tura - nt' ~ <br />J~ % ~ / <br />r <br />7. Date of auv' <br />q ~. <br />s. Aedr ONL i r7f n <br />tll r <br />C~ <br />f <br />3 <br />N <br />n <br />9 <br />m <br />C <br />a <br />z <br />9 <br />m <br />A <br />i <br />