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<br /> SEMI Complete it:. s 2,and 3,
<br /> a'i SENDER: Complete kcros 1,2,and 3, a Add your a:'dr in L':e"RETURN TO"space on
<br /> rrveise.
<br /> o Add your address in the"RETURN TO"space on
<br /> 21 + ` reverse. 1. 'Pic following service is re,nested(check one,)
<br /> 1, The following service is requested(check one.) r Show to whom and date d.stiveted............—¢
<br /> Show to whom and date delivered............—¢ ❑ She,v to whom,date rnd address of delivery...-4
<br /> ❑ Shcw to whom,date and address of delivery..._¢ ro ❑ RESTRICTED DELIVERY
<br /> ❑ RESTRICTED DELIVERY Show to w'tom and date delivered............_¢
<br /> ❑Show to whom and date detivered............_¢ ,-..�-.x: �..;..,.M•. RESTRICTED DELIVERY.
<br /> ❑ RESTRICTED DELIVERY. -• Shew to whom,date,acid add
<br /> of delivery.$_
<br /> Show to whom,date,and address of delivery,$_
<br /> (CONSULT POSTMASTER FOR rELS)
<br /> (CONSULT POSTMASTER FOR FEES) _ 2 ARTICLE
<br /> 'ADDDREI-SEDD1eTO:
<br /> ARTICLE APORESSED TO: ...._ m
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<br /> n 3. ARtICLE DESCRIPTION:
<br /> DsSCRI 3 CERT
<br /> m REGISTERED NO. CERTIFIED NO, INSURED NO., ARTICLE o I/
<br /> �^ REGISTERED NO, CERTIFIED NO, INSURED NO. I J/ G
<br /> �' ,/ G• T O
<br /> ���c,s ;,. it Wways obtain sitdnatuie of addressee or agent)
<br /> (Always ti
<br /> ways obtain s:gnstaro of addressee or agent) #- '� I have received the article described above.
<br /> m
<br /> rl I have received the article escribed above, A 4 M SIGNATURE CAddressee CAuthorized agent
<br /> m SIGNATURE CAddressee uthorized agent ! O
<br /> Ca. ' s P-IJICC LATE OF DELIVER
<br /> A m DATE;OF DELIVERY POSTMARK` (rJ CS.J ,.e�� ~~w z S. ADDRESS(Complete only if reque4o
<br /> Z S. ADDRESS(Complete only if requestW)
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<br /> T i n, G. UNABLE TO D.LIV ER BECAUSE:
<br /> 6. UNABLE TO DELIVER BECAUSE. CtEfR�K' t: iT1ALS
<br /> O "NWIALS D
<br /> D _ -
<br /> *GPO:1979.2E8348
<br /> ;y *GPO.1979-288348
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<br /> awl )SENDER: Complete items 1,2,and 3. w 0SENDER.' Complete items 1,2,and 3.
<br /> c th Add your address in e"RETURN TO"space on o Add your address in the"RETURN TO"space on
<br /> 0 reverse. reverse.
<br /> _m 1, The following service is requested(check one.) fo ea h g sorvice is requested(check one.)
<br /> XShow to whom and date delivered............—¢ how to whom and date delivered............—¢
<br /> ❑ Show to whom,date and address of delivery._* El Show to whom,da:e and address of delivery..._¢
<br /> Co RESTRICTED DELIVERY ❑ RESTRICTED DELIVERY
<br /> _:za
<br /> Show to whom and date delivered............_¢ , Show to whom and date delivered............—¢
<br /> ❑ RESTRICTED DELIVERY, �' '` '` ❑ RESTRICTED DELIVERY.
<br /> Show to whom,date,and address of delivery.$_ Show to whom,date,and address of delivery.$—
<br /> (CONSULT POSTMASTER FOR FEES) (CONSULT POSTMASTER FOR FEES)
<br /> 2 ARTICLE ADD `§ED TO: c�/�j, 2 ARTICLE DRESSfgD TC(G'
<br /> z z
<br /> A _ A
<br /> r^r 3. ARTICLE DESCRIPTION: n 3, ARTICLE DESCRIPTION:
<br /> In REGISTEREO NO. : CERTIFIED NO. INSURED NO. T REGISTERED NO, CERTIFIED NO. INSURED NO.
<br /> 'I
<br /> �� ��r I D j�7
<br /> n (Always oLtam signature of addressee or agent) cl (Always obtain srgnaturo of addressee or agent)
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<br /> m I have received c1e described above, r 1 have received the article described above.
<br /> A SIGfI ddr me uthorized agent . m SIGMA CAddressee 0Auth zed agent
<br /> to
<br /> C
<br /> DA OF £ `JERY ARK TE OF DELIVERY .POSTQK
<br /> O _ Q
<br /> S., ADDRESS(Complete ordy if 1 r„ GQ z0 S. ADDRES:tCQf pgfe only if mwemd) 3'-�^
<br /> Q
<br /> m — Op ( r— m r'
<br /> pr S. UNABLE TO DELIVER BECAUSE: 7C' �, 6. UNABLE TO DELIVER BECAUSE.
<br /> Jti.-.... ,�.n moo".o I ✓._,-,.,.-..,�........,...
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