REP47332

• Permit No: M1986040
• IBM Index Class Name: Report
• Doc Date: 12/4/1984
• Doc Name: 110 AND 111 ATTACHMENT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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• SENDER: Cottsplata items 1, Z. 3 and 4.
Pus your atldress in "RETV RN TO" space on [he
reverse soda, failure o this will prevent this card from
being returned to you:~T he return raceidt lee wr0 OrOVida
you the name of the Denson delivered to end [ne tlau of
tleliverv. For adtlitional fen the rolldwinp services are
available. Consul[ postmmter for IM end check boxlnl
for sse
rvicelsl requnted.
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1. AJ Show to whom, tlats entl adtlrna of tlelivery.
2. ^ Restricted Delivery.
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4. Type of Service: Article Number
^ Registered ~ Insured
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^ Express Mail
Always obtain signature of addressee or agent entl
DATED IVERE .
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6. Signature -Agent r'-~~
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7. Date of Delivery
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RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATt^' ~ MAIL
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