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S (~ • <br />~~/ <br />Fri.,,, ~~, v ~~.,.~ ~-~y~~ l urr,. ~-~c _ <br />0 <br />e o I Q~.MI~ l/~ <br />ProU l vT <br />S~T ~ <br />t'1- 1~7~70 ~~~11C~ee~C 1"Itn~ <br />Mrat Itn d'CV1SEu ~ IAnS OQl' <br />~+n. w.e~ ~ 5 . <br />Z~~Z~ ~~ <br />P (ec:~e_. ~~^~ be..~~c.v a CG~y of ~-~e. re,-~w~ <br />~~~5 +~ ~;0 3~~ ~~~~„~-r b i ~~ P~~.S ~.~ <br />/t'.c~S W.as~ re,v~s~~ ~ar ~s-~e (~~~ Clon,..-.r..z.,.'ts ~+ (~IZ/~~ <br />IAnC./~~ ~nwv~ tozeh ~JIo. CEC~ oh ~4-,/A1~~ G_'TI 17 ~1n~ <br />1 `b ~~av~CU ~'YV ~ew-~ NQv~S~ ~ /I ISo e,'j'Y~.~lneei t5 <br />Or~,~ aF ~wb1~l~~.~~t~,../. <br />^' SENDER; <br />v° .Compete itertro t ardor 2 br etldnlonN aerviwe. I also wish to receive 1hB <br />r •ComplNe same 3, ae, and ab. fdlowing s0MC0s (for an <br />e • Pnm your nema end eddree• on iha nven• of thh brm w Ihel w0 mn rotum Ihia BktfB fe6): <br />el raN Io you. a <br />~ •Atlaoh Nie brm to the honi of the rneilpaca, or on the beCC it epee dose not t. ^ Addressee's Address <br />o gamer. 2o <br />~ •wnta'Retum Rxalq Revueersd' an iM meilpkoe below Me snide numbx. p, ^ Restricted Delivery f/j <br />•7M Retum Racelq MII snow to wl,orn tlw aniGe was OeaverW end the date ~ <br />~ aenverae. Consult posbnaster for fee. <br />o g <br />3. Article Addressed to: 1 4a. Artlcle Number <br />Rio 31a..co ~ov.n?-/ Z Ob'"'! 37 1 13 E <br />° 4b. Service T e <br />~vLtu(~.v.en+ ~P~. ^ Registered CertlMed <br />1 a <br />P. ~ , Qux S~ ~ ^ FUCpress Meil ^ Insured 5 <br />a <br />~„~ e ~ k ~ ~ O ~ 1 ~ y I O Relum Receipt or Merdtendse O COD <br />~. Date ot~ary <br />L- ~ ° <br />T <br />5. ReceWed By: (Pdnf Name 8. Addresse Address ( ly i! requested ae <br />S@ h _ ~ r endl6ey' aidJ L <br />H t <br />g 6. Signatur (Addre ee or nfJ ~ <br />r x ~ tJlz~ <br />e <br />PS Form 3911. Decembe lase Domestic Retum Receipt <br />