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{II 1111111411111111 <br />n <br />N <br />C <br />C <br />rA <br />t <br />m <br />e <br />LL$ <br />t3 <br />E <br />IL <br />N <br />a <br />`" -- <br /> <br />P 652 676 105 <br />RECEIPT F9R CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />-~~ 5 ~( (See Reversal <br />sent to d <br />Street and No. <br />1SY0 ~ U <br />P.O., State and ZIP Code <D VL (r <br />Postage S <br />CeRlfletl Fee <br />Special Dallvery Fee ~ <br />Restricted Dallvery Fee <br />Return Receipt Showing ' <br />to whom and Date Delivered , <br />Retum receipt sMwlnp to whom, <br />Dale, and Atldress of Delivery <br />TOTAL Postage an L IV ~/ <br />~_~ <br />' <br />Postmark or Date ~' <br />r.. <br />~ ~ <br />Fa <br />t.)~ ~VdD n <br />. n <br />,~ ~ ~ 0 <br />n' ~ <br />~_iy <br />SENDER: Complete items 1, 2, 3 end 4. <br />Pur your atltlress in the "RETURN TO" spats on the <br />revene sitle. Feilun to do Chia will prevent this cam from <br />being returned [O yeu. The return rxeipt lee will provide <br />you the name of the person delivered to and the data pf <br />delwery. For etltlitionerfsN me following services are <br />available. Consult postmaster /0! leas end check boxes! <br />for sarvicatf) requested. <br />' 1. ~ Show to whom, tlan end etldresa of delivery. <br />2. ^ Restricted Delivery. <br />9. Article Atltlressetl to: <br /> <br />$x/00 Ncatwy <br /> <br />4. Type of Service: Article Number <br />~ Registered ^ Insured <br />$j Cerhlied ^ COD 24, 7(o/QS <br />~// 5 <br />^ Express Mau <br />Always obtain signature oFaddressee or agent antl <br />DATE DELIVERED. <br />5. Signature - Atltlressee <br />X <br />6. Signature - A9em <br />X <br />7. D o1 Delivery <br />~ , - 85 <br />a. Addresseei Address /ONLYifrequate a «pa <br />T <br />0 <br />3 <br />G <br />J <br />e <br />m <br />m <br />W <br />O <br />3 <br />N <br />ti <br />a <br />m <br />H <br />c <br />a <br />Z <br />a <br />A <br />9 <br />y <br />9 <br /> <br />