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U.S. Postal Service,. <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mail Only; No Insurance' Coverage Provided) <br />For delivery information visit our website at www.usps.com,o <br />USE <br />Postage: <br />-7 7-7" <br />e <br />Certified Fee: i � � � $i8 5 x <br />(Er Return Receipt Fed / <br />� U � 4 � <br />(E Total Postage & Fe $5.59 <br />Total Postage & Fees I $ <br />sent To <br />ck A. T-,bOc i. - - - ACO E . l�,i!�...... <br />eireet,Tpt.Wo.; (� 1111 y/ p <br />or PO Box No. LID 1 € ` fj 1L (Xi` . <br />c;ty, Mate, ZI - t. a 0 . o 16 <br />See Reverse for Instructions <br />PS Form 3800. Au.ust 2006 <br />d SENDER: <br />o • Complete items 1 and/or 2 for additional services. <br />• w •Complete items 3, 4a, and 4b. <br />H ■ Print your name and address on the reverse of this form so that we can return this <br />.. card to you. <br />d .Attach this form to the front of the mailpiece, or on the back if space does not <br />• Ell permit. <br />c ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />r •The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />• 0 <br />o 3. Article Addressed to: <br />e eloet' - ,1,1D As <br />AcvVte +lu- `%)_ <br />rn <br />4 Ir a . e- \\a IL_ r. <br />cc <br />° <br />o 5. Rec ed By: (P rin me <br />W e.1 — r'r iv 7 <br />6. <br />I An A.+t.a., nM ...,ti. <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7009 2820 0003 5701 0332 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />7. Date of Delive <br />* Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Receipt <br />Am / 7 - <br />92/‘ <br />A C°./4( A-4-J <br />a,6,A,4 <br />„ - „ I <br />1 LeviiLe <br />/5/-1-. <br />4-0 D S <br />/0.M <br />1 <br />