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lil 1111111111111111 <br /> 0 SENDER:Complete items 1,2,3,and 4. ' <br /> Add grow address the"RETURN TD"spare <br /> on reverse. <br /> (CONSULT POSTMASTER FOR FEES) <br /> i.The following service is requested(check one). <br /> ❑ Show to whom and date delivered.................... _e <br /> 19 Show to whom,date,and address of delivery.. ___¢ <br /> 2.❑ RESTRICTED DELIVERY —0 <br /> (The restricted deliwry fee is charged in addition to <br /> the retvm receipt fee.) <br /> TOTAL !— <br /> 7.ARTICLE ADDRESSED M. <br /> m P• O • /:M�C 8 L.d <br /> 4. TYPE OF SERVICE: ARTICLE NUMBER <br /> fT ❑REGSTERED ❑MBINIED /� <br /> P ®CBIRPIED ❑COD <br /> ❑EXPRESS MAP F 3,97 /1/5 577 <br /> 9 -� <br /> (Ahvaya otfttn alptisture of addressee or agent) P 397 14 5 577 <br /> w I have received the article described above. <br /> SIGN=REC1ee ❑ Authorized agent RECEIPT FOR CERTIFIED MAIL <br /> 0 <br /> NO INSURANCE COVERAGE PROVIDED- <br /> DATE OF DEUIERY NOT FOR INTERNATIONAL MAIL all <br /> c - -' t .-,,1' -7• L LSS(See Reverm) <br /> Y G.ADDRESSEVSADORSSSJtargjjmrue...d) '(/j��J 1 M Sentto <br /> �' C-S�LII <br /> Street end No. <br /> Ve, ♦'t TY o <br /> 41 <br /> T.UNABLE TO DELIVER BECAUSE: Ta EMPL T P.O.,State and ZIP Code OG3/ <br /> C � . V 840e / <br /> 8Z_0- GReel V= 6t S FeeDelivery Feeed DallverY F Jecelpt Shov+QQ end Dste 0 IYeceipt Showing w o /Address M 0eh ry <br /> 2a <br /> Z'-• TOTAL Postaaa and Fees Y ' <br /> V <br /> iu, Postmark or Dal <br /> �o <br /> m <br /> ME <br /> 44 `o <br /> MI+ <br />