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P ^68 283 267 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />Q~_ <br />g <br />Sent to <br />Stree[ red No. <br />P.O., S to and LP Code <br /> g <br />P to ~ n <br />~; ~. , <br />r <br />J <br />Special D 1' Feria <br />Restricted Delivery Fee <br /> <br />ellvered <br />•^ <br />e rnr Bpt o <br />qp D•w~ <br />Date, and Addre s of DBltrery ~, <br />TOTAL Postag+ an Fees -. <br />. b <br />, <br />Postmark or Ddtg, ' <br />5. ~ <br />~ <br />~b <br />O <br />G <br />O <br />rd <br />ml <br />m <br />a <br />0 <br />LL <br />E <br />LL <br />d <br />~' <br />r <br />f1 <br />W <br />W <br />r~ <br />W <br /> <br />6 <br />O <br />W <br />T <br />i <br />J <br />.is <br />F <br />e <br /> <br />t <br /> <br />pO <br />q3 <br />7 <br />A <br />T <br />2 <br />a <br />n <br />^ <br />H <br />RlNiER: Ceaplrl <br />M Your WMrIn IM ••~ ~~ <br />Ywlrfe sid\. Failure t0 d0 ihi- \nt thif CM <br />Mire rnurh\d t0 you. h r t f 1 <br />You tlN nerts\oltM peraors rfelir\n b <br />fM11.~Y. Ftlt WyitipnN iM\tt1\fg7pwinp ~ i 1\ . <br />' <br />\YaiNwe. COnaul[prsfemNnr for f\w rrnd eh w <br />for swvicela) reauened. <br />1. ^ Show to whom, tlete \nd WMw O1 tlNiv . <br />Z. ^ RptrictrW DNivaY. <br />~. ArtitN AddrMN <br />d~ <br />O <br />: <br />j <br />(~ y~y. <br />//~~ <br />yy <br />.. <br />~ /y~~~~~ ~ <br />y t'wr~Y+v d/~C~r <br />~~ <br />ViJ~ <br />, <br />, <br />p <br />V`~ ~ r w 4•Y--1.1.0' <br />( <br />4. Type of Service: <br />. Article Number <br />O kl'{gistered ^ Insured pbg ~g 3 a is 7 <br />Certified ^ COD <br />Express Mail <br />/11rYays obtain signature of \ddrltfet9r agent and <br />Ah1TE DELIVEgED. <br />3 Signature - Adaera.. <br />X <br />6. Signature - Agent <br />X <br />~. Data of Delivery <br />8. AddrefaM'fAddrefa(ON Yifnqutrte d K <br />4' <br />