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Nams and I~~~T ~~/~7 ~e ~~ Indies <br />Address ~/ ~QQ p~ef~~ ' ^ReF <br />oT Sender ~/ °~^~`Jf ~~~ ^Ins <br />~T/~ -P ) rJv~~ ^CeOi <br />Line Article Neme of Atldressee, Street, end Post Office Addrase <br /> '. ~3~19y~ <br /> 2 ~ ~7~ <br /> 3 ~3~y p7735/ <br /> 4 O3~y9y~3~. <br /> 5 P f r~3s3 <br />~ 6 3~Y97~3sy <br />m <br />~l 97355 <br />'o s ~j/ 7735(0 <br />a 9 31y977-3s7 <br />LL 10 3l 97~3~' <br /> ~ ~ ~'4%'77~9 . <br /> 1 z P~iy977360 <br /> t3 31y977.~~/ <br /> <br />~~ ; i~yi~Qt~ ~; <br />~, <br />~~e~ /3~67lUC/1.~' f <br />~s/,1~,6/oi.~ -//,6~F•~ <br />7~dn ;1~~56rr~cn/~vQ - <br />~O~ Cis ~ ~1fii4vQ -f3/ <br />~rLra - 5~/a ~/lea ~ S <br />~OSr- /7~U G477J~n> /~ <br />dA.rYO' y3/S _S~poi <br />is ~j 9>736~ /~<L/,t1-~ <br />is 0,9/~53ed~pn-~r - <br />Total Number of Places Total Number of P~ <br />Liate by Sender ~ Received at Poat C <br />~ ~~~ f S <br />PS form 3$77, April 1991 <br />type oC mail Check appropriate blak for <br />erect Retum Receipt Registered Mail: <br />d For Merchandise <br />^Int'I Recorded Del. <br />^µ'ith Postal Insurance <br />ed Ex ress Mail ^Without Postal Insurance <br /> Postage Fee Hantlling <br />Char a Act. Value <br />III Re is.l Ins <br />V. <br /> .a ~ <br />~/ •d ~ <br />~/ ~ ~ <br />_ , , ,~Q,, <br />t,~ ~d <br />~Yi Fled <br />~~, _Ff ~` <br />~ ~h ~ <br />',~h/D~, FSD6-~ <br />~ - al/~r1~rG <br />-~ <br />POSTMASTER/,/~f~\~PyyrER (Nam//e~~~o/~f/ <br />/ w / <br />FORM MUST BE COMPL <br />Alfix stamp here i/ issued a9 ~ ~ -/~~ <br />certificate of mailin0 or for ~ /ry•~j <br />additional copies of this bill. / S r <br />POSTMARK AND DATE OF RECE/PT <br />Due Sentler R. R. S. D. S. H. Rest. Del. Fee <br />Oa <br />a~ <br />a9 ~ ~ ~,1, .~f <br />b •~ J, ~. <br />a~ #t- i v <br />.• <br />Db <br />~ a .- <br />v0 <br />va <br />UD <br />a afl .~ <br />rmp(oyte) The full deelantion of value rs required on W domestic and inmmadorul registered mail. The muimum indemnity <br />payable for Ne reconstmcdon of nonnegotiable dacumems under Express Mail dosvment recomlmcuon insunnce <br />is 550,000 per piece subjen ro a limit oI 5300,011(1 per occurrence. The maximum irldemniry payable on Express <br />Mail merchandise insurance is 5300. The maximum iMemniry payable is S25.1p0 for egisteed mail, sent wish op- <br />~ IiorW postal imunnce. See Domestic Mail Manuel 917 eM 91d for limitations of coverage on insumd and COD <br />mail. See Intematiorul Mail Manual for limiations of coverage on intemanoml mail Special handling charges apply <br />ad to third and fwrsh class arcela. <br />' TYPEWRITER, INK OR BALL POINT PEN •ila n,.~,,,T.,a oa~av.. rva,... scot _ mce~as <br />