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~. <br /> <br />•SENDE R: Complete items 1 and 2 when edtlltlonel servlcea are desired, en omplate items 3 <br />antl 4. <br />Pu--your eddreas in the "RETURN TO" Space on the reverse altle. Failure to do this will prevent this <br />cer•, from befog returned to you. e e u n a tee w l r v de u the n me of the era n <br />v o the f tlel've For atlditlonel fee the tollowing aervlcee are evelleble, Consult <br />p tmester for fees end ch9ek box q) for edtlltlonel aervlce(a) requested, <br />t. `7 Show to whom tlaliverad, date, end etldressea's eddresc. 2. ~ Restricted Delivery <br />' T(Exrra chargeJt t(Exrra chargeJt <br />3. Articl <br />e Atldressetl to: 4. Article Number c <br /> ~S ~ J <br />ez <br />In]J_>J ~~;7 ~4 AtE~/l,Qe/f/~('1 Type of Service: <br />^, ~, ^{/~ Q <br />~`5 ~ ~ ~~\ ^ Registered ^ Insured <br />~Certifietl ^ COD <br />p/, '7 <br />~J /~- /~ <br />~ ^ Express Mail <br />~ <br />I r ~ C1~ <br />@~ <br />t-C <br />°~l 1 <br />I OL <br />1 / ~ <br />~ <br />~ <br />, • <br />._ <br />. Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. ..I ature -Addressee ~ - 8. Addressee's Address (ONLY if <br />id <br />d <br />~~~ ~ ~ ~G ~ requcsred an <br />jee pa <br />/ <br />Signature - Agent <br />7. D of livery ., <br /> <br />PS ForrtY3811, Mar: 1987 + u.s.c.ao. tge~-tie-sea <br />Ia F ~T!'~ 111 ~- 81 ~ l l r;Z- <br />P 765 475 065 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE CDVEPAGE PgOVIDED <br />NDi FUq INTFRNATIDNAL MAIL <br />and <br />P O . Stale antl 21P Cooe <br />Postage ~ <br />Cendletl Fee <br />Speaal Delwery Fee <br />Re5lrlcletl Delwery Fee <br /> Return Rece~pl showing <br /> <br />N Ip venom and Date Delweretl <br />~ Return Receipt snowing lp wh~ <br /> Dale. antl Adtlress o1 Delroery <br />a, <br /> TOTAL Postage and Fees <br />~~. <br />g <br />Postmark or Date <br />M <br />E <br />o <br />4 <br />N <br />a <br />S <br />S <br />DOMESTIC RETURN RECEIPT <br />e: <br />0 <br />Q <br />C <br />i N <br />sf~ <br />T <br />N <br />E <br />Q <br />C <br />m <br />F <br />>. <br />fa <br />1' <br />U <br />C' <br />C"s <br />T~ <br />a <br />~r <br />G <br />