REP45223

• Permit No: M1979187
• IBM Index Class Name: Report
• Doc Date: 3/1/1985
• Doc Name: 112 ANNUAL FEE LETTER SECOND FOLLOW UP
• Permit Index Doc Type: ANNUAL FEE / REPORTS
• Media Type: D
• Archive: No

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• SENDER: Complete items 1, 2, 3 and 6.
Put your atltlress in the •'RETU RN TO" space on the
reverse side. Failure ro do th,s will prevent this card Irom
being returned t0 you. ThB r¢tUrn rKeiDt tee will prOVid~
you the namB of the person veliveretl iD entl the date o1
delivery. For atltlitiOnal feet the IOllowing services are
available. Consult postmaster for fees end check boxlasl
for servicelsl requested.
1. (~ Show to whom, date and edtlress Dt delivery.
~. ^ Rastri<ted beliverY.
7. Article Addreeeed to:
. Lp .
3 S 4 ~.~~, 0.w . L~vX Z4

4. Type of Service: Article Number
^ Registered ^ Insured
~Certlfied ^ COD -~~ 5z ~~~ 103
^ Express Mail
Always obtain signature of addressee or agent and
DATE DELIVERED.
6.'Siynat re - tlressee
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6. 5 n ure -Age t
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], Dataol Delivery C~ ~ '~

e. Atltlreysae's Atltlress (ONLYifre a ee pn
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P 652 676 103
RECEIPT FOR CERTIF~D MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
1 q I ~ ~ (See Reverse/
Sent to
Street and Jo.

Q 2 (,
P.O., State entl IP Code r
Z F
Postage t
cenuled Fee
Special Delivery Fee
ResiriotrW Dellvery Fee
Return Receipt Showlnp
to whom and Date Delivered
Retum receipt showing to whom,
Date, end Adtlress of Dellvery
TOTAL Postage entl Fees ~ i / ~. :S l

Postmark or Data' ~
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