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9 <br />N <br />T <br />0 <br />3 <br />J <br />m <br />u <br />• SENDER: Complete hems 1, 2, 3 and 4. <br />Put your address in the "RETURN TO" space on <ha <br />reverse side. Failure to tlo this will prevent this card Irom <br />being returned to you. The return receiot tee will Providf• <br />you Me name of the person delivered to and the tlate Of <br />deliver .For etlditional tfvq the following services an <br />evsilebla. Conwlt poftmastar for fees antl check boxles! <br />for ffwicelf) raqusrsted. <br /> <br />1 S w t m, tlate end atldress of delivarY. <br />T. Restric tB eLvery. <br />~. Ar[icla Adtlrassed to: <br />s <br />~ <br />as <br />-. <br />~,. 79 ~vt~-rprl <br />~Ox o`!IS'~ <br />{11 zeker / Co ~ ~~'~~ <br />A. Type of Swvice: Article Number <br />s <br />^ Registered ^ Insured <br />Certified ^ COD .-T <br />p o'~ZQ lb0~ <br />QD(Lp -1 / <br />^ Express Mail <br />Always obtan signature of dddressee or agent and <br />DATE DELIVERED. <br />5. Signal e - e <br /> <br />6. S 9natu re -Agent <br />]( <br />Date of Delivery ~ <br />9-~j~~ ~ <br />e. Addressee's Address (ONLY i requeste an ee Ps <br />U <br />O <br />3 <br />-yi <br />n <br />A <br />m <br />1 <br />c <br />s <br />2 <br />9 <br />m <br />A <br />m <br />r/ <br />Q <br />~~ <br />~~ <br />~°- <br />rp <br />~ 6 <br />~~ <br />H <br />d <br />M M <br /> <br />l <br />W <br />~~ <br />~~ <br />~o <br />E <br />~LL <br />via <br />P X68 .~"9 702 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />~~ ~ <br />(See Reverse) ~~ f f A <br />Sen,~o <br />Slraelaand No. <br />O <br />P.OnStat~ a~tl~I~COdC 4~~ r <br />(J <br />~ <br />Postage a S <br />t <br />Certilietl Fee <br />za <br />Sp <br />Reslrlcted fse ~{ <br />w <br />Return ReceiptRelurn Receipt Showing <br />so <br />w <br />n <br />o <br />m <br />an <br />a <br />pp <br />J, <br />ppL~ <br />1 <br />y~ <br />E~~ <br />D <br />I <br />, 1•S1O~ <br />aldmWl~ <br />tl <br />TOTAL Poste Q;a <br />e ~~. S <br />^ <br />r <br />Postmark or <br />tp <br />~ <br />ll <br />p <br />t1 <br />1 J <br />`L`~1 <br />~ <br />. <br />U <br />,~U ~, . <br />r <br />