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U.S. Postal Service <br />CERTIFIED MAIL, RECEIPT <br />(Domestic Mall Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.como <br />City, State, ZIP +4 <br />Postage: <br />Certified Fee: <br />;t Return Receip t Fee: <br />'E Total Postage & Fees: <br />Total Postage & Fees I $ I <br />Sent To c/ <br />ot PO Box No <br />Street, pt No; <br />PS form 3800. August <br />See Reverse for Instructions <br />CJ <br />$0.45 <br />$2.95 <br />(02.35 <br />q ;75 <br />0 a <br />•M -Z - c) �� <br />• q - 2ciz <br />CCI)4 Clitej <br />— <br />71crt *AL <br />(37‘ D S <br />1/-er23 /j4 <br />