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Sp <br /> �- Z 191 SFilkr # <br /> c_ <br /> US Postal Service ^ � <br /> Receipt fo'r Certified Mail°tea <br /> C,� No Insurance Coverage Provided. <br /> • Do not use for International Mail See reverse <br /> O Sent to fu <br /> Cs Street&Number I <br /> POffice,State, ZIP C e <br /> —' Postag g. `��� <br /> r <br /> -Caitiff '2 �� r p 0 <br /> r- <br /> C Speciallivere -0` <br /> RestdcfiDeliver Fee g�j6� <br /> m <br /> :e w Return eip 'wing <br /> Ct' Whom ate ered <br /> n Retum Showing W <br /> Date, ee'sAddress <br /> /A.)) <br /> QTOTAL Postage&iFees $ 9� <br /> C., q Postmark or Date <br /> t`; <br /> C, L <br /> SENDER: <br /> ■Complete items 1 and/or 2 for Additional services. I also wish to receive the <br /> 0 !Complete items 3,4a,and 4b. following services(for an <br /> d 'v Print your name and address on the reverse of this form so that we can retum this extra fee): <br /> 2 card to.you. <br /> mEAttach this}onn to the front of the mailpieoe,or on the back If space does not 1. ❑ Addressee's Address <br /> d e.Wri ei'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> . ■The Return Receipt will show to whom the artide was delivered and the date C <br /> C delivered. Consult postmaster for fee. <br /> 0 <br /> 3.Article Addressed to: 4a.Article Number <br /> cc <br /> EC 59 t' <br /> �� i V G�� 1 4b.Service Type <br /> u p- ❑ Registered ertified CC <br /> O S co <br /> / 7 ❑ Express Mail ❑ Insured S <br /> oWC \ ❑ Return Receipt for Merchandise ❑ COD <br /> Y <br /> ~ 7.Date of Delivery .° <br /> z <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only if requested c <br /> W and fee is paid) r <br /> t— <br /> g 6.Si na r : (Addre a or Age t) <br /> T _ <br /> PS Form 381 , December 1994 102595-97-13-0179 Domestic Return Receipt <br />