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v <br />r ~ SENOER: OompLtE %Mpi 1, 3,3 and ~. , <br />Ott yoYr atldrOfs in the "RETURN TO" space on tlt0 <br />Y warsa title, Failure to AP thi))~w~ill prlvem tnis card tto <br />ff.ff bt{iny a}urnao to Volr:. laaa3l'p reuipr tb will providb. ., <br />~ du th0 nam.oa tha parson dalib:C6 tb!, d tha dga o/ <br />.+ ae11VRM, FOr^ itiornifM itw tottowiny servkas arl <br />ava0abla. ConW tt pgtmwto for law and check Upx(w) <br />for emiw(al raquwtW. <br />7 1~3'~how to whom, dace anO address of delivery. <br />2. [I RestrittOtl OHivery. <br />3. A(licle Addiwsad tD: ' <br />~k r ~. ~ S+o-w~ <br />(h ~~ CO Q'l (o ~l <br />4. Typa p1 Sarvica: Article tysmber <br />~ registered ^ Insured r~ q ~iJjtl <br />erttied ^ COD ~~`al~ ~p !`~/Y^!1 <br />Express Mail <br />i AfwaVe obrain signature of 8ddressBe ~r agent, and <br />DATE DELIV EKED. i <br />O~ v ~giure - AtldyastGty~ ' <br />m <br />y <br />a <br />z <br />a <br />t] <br />m <br />9 <br />ti <br />.' P 64? 676 044 <br />RECEIP7 FOR CERTIFIED MAIL <br />NO INSI)RANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />'1%t ~ `~%> /See Reverse) <br />F <br />N <br />.j~ <br />;O <br />p <br />NN <br />_ ~ <br />a <br />t <br />{ m <br />a <br />~~__ a <br />IL <br />_ E <br />0 <br />~ LL <br />~a <br /> <br />^t t~ <br />r; >> - h <br />Street an o. <br />~`~ ~ I l_1.~• ~ <br />P.O., St@te antl ZIP Code , ~ <br /> <br />Poshaee S <br />Certl(ied Fea <br />i SpeclaY Oel v9 'Fee <br />_ .,,~, t, <br />Restricted Delivery Fee h ~; <br />~=. <br />Return Rapelpl hortngf ~~ <br />to whom an Dele Dellverell7J <br />t om, <br />Date, a <br />TOTAL Postage antl ~ftw, <br />~I S <br /> l <br /> <br />. <br />Postmark pr Date , <br />~~ <br />~. <br />