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R F ~-T~ ~'Yl -83 -030 <br />P 765 476, 23{ <br />RECEIPT FOR CERT!'IED NlAIL <br />NO INGORANCE COVERAGE RROVIOEO ' <br />NOi FOfl INiEflNAEIONAI MAIL <br />/See Reversal _ <br />S <br />1.1 <br />•SENDE R: Complete I[emz 1 and Z when edditlone1Jervlces ere daclretl, end complete items 3 <br />and 4. <br />Put your-address In ~e "RETURN TO" Space on [he reverse side, Fellu re to tla this wlll prevent this <br />certl horn Daln9 retuTnetl to you. The return recelOt feerwlll provide you the name of the oercon <br />tlellveretl to and the tleta of tlellverv. For edtlltlonel fees the followlnB servlcee ere evelleble. Consult <br />p stms r for }ees antl check box(es) for atltlltlonel service(s) requested. <br />1. y5how to whom delivered, data, end addressee's eddrosa. 7. ^ Ractrltted Dellvery <br />~) 1(Exfra charge/f 1(Exfra chargeJt <br />3. Articl.l Addsssed to: 4. Article Numbgr- <br /> <br />II 1I <br />) ~-1 <br />P ~ F~ ~ [ 8 <br />i~~'~ <br />~.,} `~C1 <br />I' <br />K TVpe of Service: <br />~ <br />, <br />/ <br />11 S C ^ Registered ^ Insured <br />ertified ^ COD <br />-1 <br />' ^ Express Mail <br />y~ <br />~ ' 1 L,r/Y\,~,) ~ ~ ? ~ / ~ ~~ ~ Always obtain signature of addressee <br />r or agent end DATE DELIVERED. <br />5. Signature -Addressee 8. Atldressee's Address (ONLY if <br />X requested and fee paid) <br />6. Signature -Agent <br />X ~ <br />7. /Date of Deli~v/ery <br />w 'Q r~ <br />m to <br />1 ~ <br />r et antl NO <br />.. $Iale antl ZIP Code <br />r~ CJ~~ ~ <br />rage ' S <br />~t~ed Fee <br />aal DeW¢ry Fee <br />noted Delivery Fee <br />urn Receipt showng <br />nom antl Date Delivered <br />urn R¢ce~pl showing to whom. <br />e. antl Address col Dellvery <br />TAL PoalagB antl Fees ~ 5 <br />e <br />tmark or Dele <br />t~/` <br />'\ <br />i <br />f.. <br />,> <br />rl <br />1` <br />PS Form 3811, Maz. 1987 + U.S.G.P.O. 1997-17&298 DOMESTIC RETURN RECEIPT .~ <br />