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~~~i iii~~iiiui~i iii • <br />999 <br />9 <br />N <br />T <br />O <br />3' <br />r <br />c <br />7 <br />m <br />u <br />O <br />3 <br />m <br />N <br />n <br />S <br />m <br />c <br />x <br />2 <br />A <br />m <br />v <br />1 <br />SENDER: Complete items 1, 1.3 antl 4. <br />Put your addresi~~n the' URN TO" space on the <br />reverse side. Failure to dimes will prevent this certl from <br />being raturnatl to you. The return recelot lea will DrOVide <br />you tha.nama gf_tha person delivered to antl the data pl <br />dNivwy. For etlditional law Me following ssrvicw ere <br />avNlable. Consult postmeBtM for teas end chKk lwxlw) <br />for sarvicelsl requested. <br />1. $L Show to whom, data entl eddrws of delivery. <br />2. ^ Rettricted Delivery. ,!A <br />,~ <br />~. Arh <br />l~~ad ~ <br />~r,e <br />~5on s <br />~ <br />, <br />. <br />rni. <br />i i sa I C'~~t~+~ r~ . <br />1ao.~'~er 5ar , Cal a . SOC>z~l G <br />4. Typo of Service: Article Number <br />^ Registered ^ Insured <br />''L~ <br />^ ! _ j3 ~~~rl ([d~ <br />lL Y 70 <br />Cernfied <br />COD <br />^' Express Mad <br />Always obtain signature of addressee Qr agent and <br />DATE DELIVERED. <br />5. Signature - Gasses <br />X ~ <br />6. Signature -Agent <br />X <br />7. Data of D~=Brv ~ ~ ~ <br />s <br />8. AdGessee i Atldrws (ONL 1 1CQll,'Jf ~ CC Pa <br />w <br />s <br />O <br />d <br />(7 <br />td <br />M <br />m <br />w <br />m <br />LL <br />E <br />O <br />LL <br />d <br />t_-_ <br /> <br />1~ 65~ 674 483 <br />\i' <br />RECEIPT F,OR-SiERTIFIED MAIL <br />NO LNSURANCE COVEflAGE PROVIDED <br />NOT FOq~INTERNATIONAL MAIL <br />Q I _ ~~ (See Reverse/ (~ <br />Sent to <br />~f-~1., ~ C <br />A~ i 1C <br />~tre and No.~j <br />ffJ n ' <br />_ <br />P.O., State end ZIP Cotl <br />Yl <br />UD(o~G <br />Postage S <br />CaRllled Fee <br />Special Delivery Fea ~ <br />I <br />Restricted Delivery Fae <br />Return Receipt Showing ~ <br />to whom and Date Delivered <br />Return recal sl~a!I_ m, <br />Date, entl tltkess o D 1 <br />TOTAL os]~age ariri'~,l~is <br />91,J: ~ S <br />Postmar(t C C <br />`` - C/ i <br />s~ <br />0 <br />Z <br />S <br />J <br />Z.1 <br />D <br />S\ <br />T <br />J <br />J <br />