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.SENDER: Complete items 1 end 2 when additional services ere desired, end complete Items 3 <br />antl 4. <br />Put you r. etldres(in the "RETU Ry.T.Q' Space on tharaverse slde.belb <hls will prevent this <br />card gQnMp1(i~s htu road to v~.3~hli@Rr+Yflfce~fl Ilrr~fwidlTl6~-eM-name o/ the person <br />Del Ivery <br />117 4)h,L,tp Pt,,.t.c <br />~r <br />~~ . <br />5. Signature -Addressee <br />6. Sign ur /f"}pen l ,~ { ~ ~ , <br />7. Date of Delivery ~ - <br />PS Fn.m .9877 Ma. 79p7 ~uenDn mo-svesu <br />X69 27X' oss~ <br />le of Service: <br />Registered ^ Insured <br />Certified ^ COD <br />Express Mail <br />rays obtain signature of addressee <br />~ent end GATE DELIVERED. <br />ressee's Address /ONLY if <br />rested and fetLe paid/)/77 <br />1 <br />r1n000T 1r` DFTIIGW OCnCIDT <br />Ann Fc~ /YI-87-d/O /it <br />P 169 878 a54` <br />-- RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERN4~TIONAL MAIL <br />` (See Reverse) <br />C~ <br />t~Q <br />.~ <br />rm <br />~ O <br />d <br />~ C <br />el <br />r' <br />_ gyn <br />r~ j <br />D <br />~~ <br />a <br />e <br />t <br />r <br />S t 1 O <br />N <br />o <br />. ~ (1 <br />Street antl <br />' <br />~ <br />t <br />' <br />t <br /> <br />// <br />P. ,State antl ZIP Go a <br />Ponta <br />Certified Fee p <br />v <br />Special Delivery ae <br />Restrlctetl D II SON IVIS10~1 <br />Return Receipt Showing <br />to whom antl Date Deliveretl <br />I Return receipt show) o wtwrty'! <br />'s <br />Date, and Adtlress t Delivery <br />i TOTAL Postage ~e~ S~ <br />~ <br />T Postmark or Dat O \M q~ y ~ <br />/~~ <br />{ ~/' <br />S ~; ;,`?. <br />i <br />0 <br />