|
t:emPl•U lum• 1 erWra R for e.Yie•r41 ewrpe. .e . bomp~•e• prm• 1 endee, 710r eesidena e1,Y4Y/. , aav W ieb lu ruW1YO I,W
<br />CanpMa h.me 7. rrd .. - b, I followlnp .elvkea Ifol an -rtra ~ ~ ca„oi.u asma S, .r,e .• 8 n. lolbwlnp -ervkse Ile en sxde ,~
<br />MM Yow mm. end eeerere oe +M nwne 0Y UYe (arm w dare w. cis {I feel; ~ RIM Yo" n.m0 and Oddnr on eM nvml o/ W. lam .0 M w. em (eel: Z
<br />tleh adl prd b Yeu. O reenn Ihl• ceN to You, s
<br />/~IYeir die ia,m +c .7r. .~,,.,:: :~: ?: w'3, !r ?n do e.d111 yp 1. ^ AddfMdee'd Add1eN > • At4ch Ihb form to du iron+ e) dM m.YOF p, Or p eti e.dt it •D-c. 1. O Addreddes'. Addreea Pr .f
<br />M P01 peso((. D eoe• n0l G•nlt. r~
<br />,Wrp"Retom Reee'pt llpwetd"an+Ir m-IlplreeWMw ea enloh numMr 2, ^Reetrietd OalNsry ~ ~ • WMe"poem Mo.giP.au•.Y.d"an+Mm11pI0pMlo~rtM rtleNnumMr 2. L.1 ReetrlCldd Vaiiviry e,~,-
<br />71r Raw,Replp rxel Mow t• wMm tln e,tlde rroe dMN,erM end tlN dote ~ TM neeum newlpe wle ehOw b when the • 1kY wn desua+d end dr dote c~
<br />~~d_ ~ Coneul+ -tmedtn for lee. c e•Ilvend. Conwlt o-tme-+sr for lee. ~ i
<br />9. AttlT ele Add~aded to: de• Anids Number E ~ 3. Anlcls Addredwd to: 4e. Article Number ~~
<br />~iG ~onc'SIn(/~~~ ~F11/tom : ` .~ ,~i~l)~ Ca~~ fi1~~~ ~T-D c. DLO o
<br />Ib. Service Type fC ,b. Service Typs ~
<br />Q,~~ ~,~ 1~ ^ Repletsred ~ laeured D Raplslered ^ Inetned
<br />//!J ~~~ ~~'^'l Y D csnltr.d ^ coD ~e ` ~ ~~. ~X ~ dulled ^ coo .~-''
<br />~AyP,Tr ~I/7 Srjy -jp/ : Q £xPreu Mail ^ Rewrn Racefpt for ~ i'. W ~y,~~ ,1~ ~ Qrw~l/t/~. D E>tpres. Mall D Rettwn Receipt Ira ~ ~
<br />.; K/r l~~ 7. Dote o1 Dellvsry .4 a .~L/y~~~/ (j(~ (,(~ vvr 'Q~Y p ^~' ~
<br />~.~ ~ 7. D-yYOD110 0~'
<br />' netun AeNreaeal S. Addraaeee'e Adds (Only fl nqussted ~ a 6. Sipnetuu IA,ddneewl 8. Addree-ea'e Addre-e lOnfy I/ ropueebd ~ ~
<br />end Iro ie peidl ~ end lee Is patll .-~,
<br />S.~SgneWleU,;eml ~ ~~~ ~ 6. 6gna IApent/) ~
<br />~b Form , Dumber +881 w ~ tua+w-eesw DOMESTIC RETURN RECEIPT ~ 1 ~ pg p~ ~ , December teiF- ~~-" ~•"~+'R DOMESTIC RETURN RECEIPT ~-,
<br />1~ o
<br />~' - _
<br />o
<br />E ~ '
<br />Cemptm InmY + endla 7la -ddMlold w•a-e. f oleo wbh to IeOeIW the ~ ~ ~ S Ctinpe~ Nome + eMlw 7 for eddMOnd er Ilan. I abo wbh to recNvs the -o
<br />Complete lam( 7, eM M l e. lolbwinq NrvlCee Ifa en eatn Carplea hem. e, ew e. ~ b. ~. followlnp ewku qbr en edtre $ "'
<br />• MM Year come and alAwe en IM lever.. W tltY Tam n th-t we t:-re iNl: ~ • RIM Yow nerve end eddrer os dre lewrn 71 nrle letrn re dtst w0 wn 1N1: t
<br />•selm Mb C-rd 1e You. rehMn INe nrd b Yow a
<br />• AtYeh d,h loan m IIM h•M Of IM mal6Nee, a en do bade 1f .pees t . ^ AddfeMN'e AddreH • Amech thb lam b lM Irem el d1e medpl-e •, er m as -ece R eMOe 1. D Addreseae'e Addr•ee 0e
<br />-ne e01 prrrrdl. t doM rbl Pa~IMt. ~-3
<br />•Wdte'WewmneaMnpeeet.d"en as mlllplep belOwlheaelcte numMr 2. DRestrleted Dellvsry S~ ,g •wrlu"RelumnreelNReyM.d"on du aNl,depMbw drered•mmea. Z• QRMttlelad Dellvsry ~o
<br />. 1Meedmne44+wsl Mow to wlrm qw rllcNwee tllYrewdentl+M elb ~ p • ThelWumllnNpl wleelww eewMnlM erl :Mrw dellvendeM lM Oeb s ~,
<br />rYerend. Crxtwlt Ia+eetsr lo+ ha. ~ c alb, ~ Coneuh ostrneeur Irv fee. ~ o
<br />3. ANcb Addiawd to: M. Artreb N++nber ~ 3. Article Addre--ad ro: 4a. AnkJs Number ~ `"'
<br />(~ ~ ~(~~ 4b. Servlt» Type ~ ~ db. Servke Type rc
<br />\ D Reputarsd ^ Inlded o ' ' ~ ~O ~ ~ - ^ Rsgbtsred ^ I+rtaed `D
<br />/'f ~~~ ~ .~dOE D certgied d coo ,~ rn r cvv J ^ c«ueed D coo ~°
<br />.~O ?O~, ~~rT~~ d'~ w/w ^ E„ppu Mdl~'/^ Retyu~mn,Rxeipt for ~ 2_ „/~'+~ ~l~ X/)~(9,~ D E~xpr"ep{M~yslly~~D Retum Receipt for
<br />~OULy~~1~, L(.! OUX/(J/ 7. Dda o1 ~11V ~ 9 I~Jj ~ Q r(,~4f~,Ll~r W. V'.~- 7~YV ~V IIt~t77 1 i s•,
<br />0
<br />!, 618++~re IAadnee-e1 S. Addrenee'e Addrae (Only 1} nquwted ~ ~ 6. SipneWre IAddraael ~ B. Addra-ee'e AdMeee (Only q repueeud,~d
<br />.r ; ,; ~ dnd Tae le pstll ~ and lee b petll
<br />s°
<br />0• Sign r I ntl s d. Slpne re IAp ! D , ~'
<br />o , e ~A
<br />FS Force , Dec-ma t +ea-+a>.em DOMESTIC RETURN RECEIPT ; PS Form , December 1991 madra use-ta+re DOMESTIC RETURN RECEIPT
<br />~: __ , _
<br />. •~`~
<br />`A
<br />. ~ .. .. '... '.d
<br />r .
<br />O
<br />•. , •ey
<br />sl,
<br />
|