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P �211 67B 55g <br /> RECEIPT FOR CERTIFIED <br /> NO INSURANCE COVERAGE ROpEpMAII <br /> j N0'FOR INTERNATIONAL MAIL. <br /> (See 9everse) <br /> Sent to _ 1' <br /> ` Street an p• O <br /> P.O.,S to and ZIP CQde <br /> Postage <br /> s 3ZCertified Fee <br /> j Special Deli <br /> ve <br /> very Fee <br /> :i Restricted � <br /> Delivery Fee <br /> toeWhn Receipt showing Ir <br /> N om and Date Delivered <br /> co ReturnReceipt <br /> — Date,andAdd Showing to whom, <br /> C Of Delivery <br /> l ' TOTAL Postage and Fees <br /> c 5 S/Z it <br /> t cc Postmark or Date <br /> OC E <br /> a 1q- 7 <br /> �^+....:..ti..-.-..ter....... � ....- !r <br />