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M <br />• ~ t aadl« z t« adltiPFtal wwlna. 1 deu wish to. rettelw tlee <br />i • CemPletM iNma 3, entl 4a & b. ~ - - _ {~praYl/ AryjOla (/1/ ~ ~ <br />~ . Pfint Yo« name and etldress on the reverse of Wa to¢p m dta~j cen Seal: ^ ' '~ <br />at renen this ¢ard to yau. ' <br />• .aulah this fam to 9» front of fhe ma~lprm0. a on me b.ak g;w#a t. C.] Addressee's Address <br />does npe e. •, <br />rJ°, • Write'7{atamReoeiptflequested"on the maifpiepabemxUhijgGeib~moDi! ~ 2. ^ Restdcled Delivery o <br />• 1TSReidm Receipt will show to wtwm the article weadeavar~hrrO tlQedatp ~ <br />u deliv«ed. Consuk ostmaster for ee. mat, <br />3. ArliQle Ad~dre/ssed to: ~ ~ d Artidle Number ~ <br />~i b^5--u~,A~L- .X.YIMd"rr1O.t-- ~VO Ih•~ ~ C <br />E ~iR~.~~ 4 Service 7~ ~L <br />~ 79~ ~- 7 Registers /S ^ Insured W <br />ertified ~ ^ COD ,g <br />~h~ CO ~ ^ Express Mail eturn Receipt for ~ <br />G erchandise <br />7. Date of Delivery r <br />o' <br />5. Sig sees 6. Addressee's Address IOniy if requested •~ <br />r ~d,fee is paid) e <br />. Signature (Agent) <br />Wart ~. Ofgll~- t8Y.1 aNiG <br />P 296 603 031 <br />SlIgp--ec. _,~~~ <br />C~f~iP~for ~-~ <br />' i No Insurance Coverage Provided <br />~ ,o ;,,•,~~, Do not use for International Mail <br />ISee Reverse) <br />en+vi nn Yn U <br />74A lnnn< r ~ <br />P Sage an0 l~P COnn <br />Co Pobo <br />Poviagr <br />CeiLL,q F:,. <br />flevr~neJ 0. wew <br />io N'nont h Dai+ D.~.,,,",.~~ <br /> <br />flea r~f+Ity;Y,~ Snax~n,~ I r <br />Darr pre pass <br />ror« r,~~aye 6 <br />d Feet <br />Posima~k o~ Danz ' <br /> j~ . <br />~,^ r:, /• <br />