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SENDER: Complete items t,2.3 an <br /> � Put your atldress in the"RETURN TO".eP a on the <br /> 3 reverse side. Failure to do this will prevept is card from <br /> WW being returned to you.The return receidt fee will provide <br /> you the name of the Person delivered to]nd the date of <br /> delivery. For additional fees the following services are <br /> available.Consult Postmaster for fees and check bo.lesl <br /> for se,icetsl requested. t <br /> a 1. 1]I Show to whom,data and address Of delivery. <br /> m <br /> 2. ❑ Restricted Delivery. 1 <br /> 3. Article Addressed to: <br /> 6. Type of Service: Article Number <br /> ❑ Registered ❑ Insured 3 <br /> g�Certified ❑ COD (,1 (p 333'''"' 79$ <br /> Express Mail <br /> Always obtain signature of addressee or agela and <br /> DATE DELIVERED. a <br /> 5. Signature —Addr f <br /> O � i <br /> 3 xnl, re <br /> y 6.rsi ms re—Agent <br /> X P 068 279 593 <br /> S 7. Date of Delivery <br /> his <br /> C <br /> M 8. Addres e's Address(ONL Y if 1eqUeSted and feepl RECEIPT FOR CERTIFIED MAIL <br /> s ' NO INSURANCE COVERAGE PROVIDED <br /> emi NOT FOR INTERNATIONAL MAIL <br /> i (See Reverse) -7 7_ 416, 8 <br /> Sent to <br /> Stre t and Qo. ` <br /> P.O.,Stale and ZIP Code <br /> Ci Postage It <br /> yj <br /> y Cedl <br /> Special Dellve F 1 1 <br /> I�C7 <br /> Restricted Delivery Fee <br /> C <br /> Relurn ReCeip In <br /> to wISSIBLA . D VISION <br /> w Return recelpt showing to whom, 3 <br /> m Data,and Address of Delivery <br /> c TOTAL Postage a e00 $ ) <br /> 1 ti <br /> 0o Postmark or D tq • �Ir ��i 1 (r,l <br /> LL <br /> N <br /> a <br />