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~~ <br />P r.Ca2~-18 5 3 4 9 <br />Receipt for <br />Certified Mail <br />~ No Insurance Coverage Provided <br />,4 e~ Do not use for International Mail <br />ISee Reverse) <br />m <br />_m <br />m <br />J <br />to <br />lv7 <br />0 <br />a <br />C. <br />Senr m ~ U.~JC'- <br />Su 1 en0 No. ~yy~ <br />7r~' <br />. Scala en ZIP [od <br />e <br />1 <br />s L <br />Postage <br />S <br />Cerulied Fee <br />Speaal DNnery F¢e <br />Rest/ ¢Ie0 Delivery Fee <br />Return Receipt Snowing <br />m Wnom B Dele Delnered <br />Return Receipt Snpwrnp tp Whom <br />Dale, an0 Atldreuee's Ad •` <br />TOTAL Postage <br />8 Fees <br />Postmark or Date r' ~ <br /> I <br /> ~~ ~r <br /> <br />9 +~ ~~,, . <br />• Complete items 1 end/or 2 for etltlitional eervlce•. I also wish to receive the <br />• Complete items 3. end 4e 6 b. following services (for en extra o <br />• Print your name end etldreu on the reverse o} this form ep that we can <br />feel. 2 <br />letum this Card to you. <br />• Attach Ihle form to the front of the mellpiece, or on the beck it apace 1. ^ Addressee's Address y <br />tloee rw[ Dermit. <br />• Wri[a"Return Receipt Reousatetl"ontha msilpiece below the article number 2. ^ RBStri Oted Delivery ~' I <br />• TM Return Receipt will chow to whom the srticle wee tleliveretl arW [he date <br />delivered. f0i 4 <br />Consuls stmaster for fee. m <br />3. Article Addressed to: a. Article Number <br />6ksSef~ <br />MS <br />Los ~~ <br />3 <br />. <br />t ~ <br />1 . ~ a~ SC,~ 4b. Service Type • <br />W ^ Registered ^ Insured <br />~, a~ ~u~ m <br />ertified ^ COD ~ <br />fl _ iwL 1~. r , Ai. <br />1 (f C• <br />L7r <br />~l~oPi L4J 1~ L Mail Ret n Receipt for 7 <br />Mer <br />~ <br />a a e D Iva ~ <br /> 7 <br />O <br />T <br />5. S' et a IA r el 8. A se s Addre (Only if repuested ~ <br /> and fee is p id) o <br />R. igneture Bentl ~ <br />~~ <br />~ <br /> 4 3 <br />- IS <br />17 <br /> ,. <br />F5 Form 1 .December 7997 eu.e.oDO.tmz-aa4m DOMESTIC.RETURN RECEIPT j <br /> <br /> <br />