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<br /> Postal <br /> CERTIFIED MAIL,. REC EIPT <br />rn I (Domestic Mail Only; No Insurance Cov erage Provided) <br /> <br />U-1 : y <br />M Postage: ' $0.44 <br /> Certified Fee: ' $2,85 <br /> Return I1eceipee: <br />' $2.30 <br />M <br />o € <br />Total Posta <br />e & Fee <br />: rk <br />$5 <br />59 <br />E3 <br />C3 (E <br />g <br />s <br />(Endorsement Regwred)`G . <br /> <br />r? Total Postage & Fees <br /> <br />C3 ent To <br />S rg?v[ E Y 7 M&A 4113414 - ------------------------ <br />p <br />r\- Street, Apt. IVo.; / L C <br />or PO Box No. C <br /> ---------------------------------------- ---- <br />Crry, state, Z/P+4 ? l a L <br />n <br /> <br />See Reverse for Instructior <br />P", Form :00 2006 August <br />M ^ 1583- O6O <br />k: HM <br />WHOA: <br />wComplete items 1 and/or 2 for additional services. I a" wish to t efve the <br /> <br />following services (for an <br /> .Complete items 3, 4a, and 4b. <br />•forint your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br />GAttach this form to the front of the mailpiece, or on the back if space does not <br />1. ? Addressee's Address <br />' <br /> <br />d permit. <br />.write'Retum Receipt Requested' on the mailpiece below the article number. <br />2. ? Restricted Delivery o <br />S <br /> OThe Return Receipt will show to whom the article was delivered and the date <br />Consult postmaster for fee. w <br /> delivered. <br />° <br />® <br />3. Article Addressed to: 4a. Article Number <br />? <br /> Cj-4W46`f ?1?0RA113k9& 9 <br /> <br />T &,RN 13uQG rAoii L'/ L io" f rf0 4b. Service Type <br />? Registered ? Certified <br /> ?AR t NEQ S /V?p ? Express Mail ? Insured <br /> 5-0 rt q EF, 3 $ 4V -F ? Retum Receipt for Me dise ? COD <br /> <br />&cAl.verr CO V ofOz 7. Date of Delivery <br />_ Q- <br />Z 5. Rved By: (tint N atne <br /> <br />Q <br />ci <br />8. Addressee's Address (Only if requests <br />a <br /> `? <br />? and fee is paid) <br /> FFV Ak ?&J <br /> 6. Sign r :(A ress a rAge <br /> PS few iii, 7008 1140 0003 4437 5739 <br />-OF <br />wV , <br /> ?--?- <br />