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<br />P 652 676 146 <br />1 RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />/~ NOT FOR INTERNATIONAL MAIL <br />_ ~ (See Reverse) <br />lU7lw <br />~~ <br />nvJ <br />--~ ~ <br />~ro <br />a <br />J ~ <br />e <br />4 <br />Sm <br />~ m <br />MLL <br />m$ <br />E <br />N <br />6 <br />1 'f\. I 1 <br />Str)ip(~a I~~I ~O~ <br />` <br />- <br />. <br />, State 0 1~ Oe I '1 <br />i <br />Postage S ~~ <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />Return Receipt Showlnp <br />to whom antl Date Delivered <br />Return receipt show) o , <br />Date, antl Atldres of <br />~s <br />TOTAL PostaO Fe9dsN <br />Postmark or D ~'., <br />~. i9a~J., r; <br />~~--, ..: <br />9 <br />N <br />T <br />(O~s <br />ID <br />J <br />m <br />w <br />'~ <br />O <br />O <br />3 <br />N <br />n <br />9 <br />m <br />c <br />9 <br />2 <br />9 <br />m <br />n <br /> <br />• SENDER: Complete Items 1, 2, 3 and 4, <br />f sit your etldrns in the "RETURN TO" space on the <br />reverse sitle, Feilu ra to tlp this will prevent this cartl from <br />being returned to you. The return receipt lee will provide <br />You the name of the person delivered to antl the date of <br />delivery. For etlditional lees MelOllowing services era <br />available. Consult postmaster tot lees and check boxlesl <br />for service(s) requested, <br />1. ~. vShow to whom, date and edtlrass of tlelivery. <br />2. ^ Restrictetl Delivery. <br />3,r../A~rticle dressetl to: <br />1 I <br />t~ <br />~~h ~ ~ ~ <br />~ <br />r~ <br />l <br />~1 ~t,~l t-- ~~~I ` ~-`~-1 <br />~a7 i ~U,?o G1~x~p ~e <br />4. Type of Service: Article Number <br /> <br />^ Reglsteretl ^ Insured <br />1~pv Certified ^ COD ~ ~`~ I I, <br />~ / L <br />L] ~ Express Mail <br />Always obtain signature of addressee or agent antl <br />DATE DELIVERED. <br />5. Sign sire - Atltl`essae <br />X <br />6. 5 ture -Agent <br />X ` <br />]. Date of Delivery . ~ <br />8. Atldressee's AtlOrass (ONLY/ rCQLCTI p C <br />/~ <br />r. <br /> <br /> <br />