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Po <br />CERTIFIED MAILTr,RECEI <br />(Domestic, Mail Only; No Insurance Coverage Prov <br />( <br />For, delivery information visit our website atwww.usps com, <br />F <br />AL USE <br />Postage: <br />Certified Fee: <br />(End Return Receipt Fee: <br />Res <br />(End( Total Postage & Fees: <br />Total Postage & Fees I $ <br />p — Sent To <br />O <br />O Street, Apt. No.; <br />P- or PO Box No. <br />5. Received By: <br />CLV <br />6. Signature: (A ressee or ; eent) <br />PS F o r <br />rm3 December 1994 <br />Won/ -c»J <br />a1Yc� &se Fel <br />Ny <br />$0,4,4 <br />$2.,85 1 <br />$2.30 <br />• <br />$5.59 <br />V <br />City, State, ZIP +4 Or Ind F L 3dt <br />,PS Form 3800. Au. .ust 2a .? ifor.l nst ructi on s. <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />to •Complete items 3, 4a, and 4b. <br />a • Print your name and address on the reverse of this form so that we can retum this <br />.. card to you. <br />•Attach this form to the front of the mailpiece, or on the back if space does not <br />` <br />permit. <br />• Write'Return Receipt Requested' on the mailpiece below the article number. <br />L , <br />•The Retum Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />d 3. Article Addressed to: <br />).,L, O >✓ <br />01.-6,4) -37-C(17 <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 />I 4 . Artinle Number <br />7009 2820 0003 5701 0639 <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />-P- 2a// - 03+ <br />10 <br />124tified <br />❑ Insured <br />❑ COD <br />0 <br />(A <br />. <br />0 <br />