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9 <br />N <br />T <br />O <br />3 <br />~~ <br />J <br />c <br />m <br />u <br />0 <br />O <br />3 <br />u <br />n <br />S <br />m <br />C <br />z <br />x <br />C <br />rt <br />i <br />SENDER: Complete items 1, 2, 3 antl 1, <br />Put your address in the "RETURN j0~'.,spayy on th! <br />reverse side. Failu.e m do this will prevent thh card horn <br />Oiling r4turned,ro you. The return receipt tee will prOyiy, <br />Qou the nam! of the poison debveretl to end the dais of <br />deliver .For atltlitional r¢es the following servitas art <br />available. Consult postmaster for t¢a end check boxlafl <br />for servicelsl repuestatl. <br />1.~Show to whom, date and edtlress of tlelivery. <br />~. ^ Restrictatl O¢livary. <br />3. Article AddraaaW to: <br />, <br />'Frzd L . Kov ~ nck.. <br />~o?~ ~... <br />C°o $ lO~o3 <br />Or~1u~ <br />( <br />4. Type of Service: Article Number <br />~p^ ~~R,egistered ^ Insured <br />p-~.erti(ied ^ COD (J p ~fQ <br />~" ~ ~O .'~ ' r 7O <br />^ Express Mail <br />Always obtain s~9natu re of~adtlresseeQagent and <br />DATE DELIVERED. <br />5. S atu re t-Adtl see v <br />x <br />6. Signature -Agent <br />X <br />7. Da~yof Delivery Xn <br />/ ~~ ~ G.J~ <br />8. Addressee's Atltlress (ONLYijrequeste a ee pt <br />l <br />lO <br />Q <br />Q <br /> <br />IS <br />s3 <br />w <br />pa <br />O <br />~~ <br />Y~ <br />~` <br />SG <br />N <br /> <br />I "_~ <br />f7 m <br />I~~ <br />.a <br />QIL <br />N~+ <br />1`0 <br />~•`LL <br />C N <br />a <br />P 068 X79 7~5 <br />S <br />RECEIPT FOR CERTIFIED MAIL <br />I <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) ~~ ~( <br />Sent to <br />~ <br />u <br />-isw <br />Street antl No. O x <br />G.O., State antl ZIP Cotl <br />~0~ <br />Postage 5 <br />as <br />cenm <br />Special Delivery F ^ .try <br />G lJ ~ <br />Restrictetl Delivery Fee <br />Return Receipt d in~~N <br />t <br />h 1V1S~~ <br />o ~v <br />o w <br />Return recBlpt showing to whom, <br />Date, and Atltlress of Delivery <br />TOTAL Postage a `eeaJ <br />S S <br />Postmark or 9, ~n y <br />z 9 c• <br /> <br />~ <br />' 1y85 <br />O \ ` <br />I O <br />U SP <br />