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III IIIIIIIillllllll • • <br />999 <br />~,z~ <br />•SENDE R: Coml`J Itamz 1 and 2 when edditlonel servlcas are dmin ntl complete items 3 <br />`/ <br />tl 4 <br />en <br />. <br />Put your edtlrass in the "RETURN TO" Space on the reverse side. Fellure to do this will prevent this <br />certl from baing retu rnetl to you. The return rxelpt fee will orovltle you the name of the garcon <br />tlallverad to entl the tlate o/ dellvarv. For addltlonel teas the following services ere avelleble. Consult <br />postmaster for fees and check boxlel) for etltlltlonal servlcels) requestetl. <br />1. ^ Show to whom delivered, tlete, entl addressee's etltlress. 2. ^ Rastrlctetl Delivery <br />1 /Estra charge/1 t (Extra ehargeJl <br />3. Article Addressed to: 4. Article Number <br />~~~~~'~ ~~.~; ,~- sons o a a <br />_ <br />~~ <br />L <br />^, ~j~~1 Type of Service: <br />''S <br />al <br />f~ <br />d <br />IV q~ d ^ Registered ^ Insured <br />/~ <br />~£N~~~ d (V l.. ~ ~6 6 old ^ Certified ^ COD <br />^ Express Mail <br /> Alweyc obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Signature -Addressee 8. Addressee's Address (ONL Y if <br />X requested and fee paid) <br />6. SIg at re - en <br />X <br />7. Detey( Delivesy~ <br />s <br />5 <br />PS Form 3817, Maz. 1987 t U.S.G. P.O. 1887-178-468 <br />DOMESTIC RETURN RECEIPT <br />p 168 4d0 232 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />81 -~1.~ 77-5a to <br />,,, nn (See Reverse) S?- 3 3 <br />Y 1 O SO J 5 <br />Slr et and N I~~ ~ O~ <br />T L gv~ <br />P.O., Stale and ZI Code <br />q EP.SoNCo <br />d s <br />o Postage <br />N <br />a ~ ~ t <br />~ ~' ri <br />Soecial Delivery Fee <br />Return RetleiPrc+'~^"'d" "- <br />s.rvlsemvxtd Pi 4i9 ~~~Ql)1 ~ <br />~ Return receipt showing to whom; <br />~i Date, entl Address of elwery <br />m TOTAL Postage a Fees <br />~ ~, <br />o Postmark or Dal g Cp,~^. <br />0 1\'9'~`t.. <br />E \` ~~_ <br />LL `\_ " <br />N <br />i a <br />S <br />.r <br />