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III IIIIIIIIIIIIIIII <br />999 <br />SENDER: I also wish to receive the <br />.~ •Comp Bte item53, 99. an0 gb.atlditional SenncCS. feDWing S@rvICBS (tor an <br />• Print yow name and atldress on Ina reverse of this farm so tnat we can return Ihis extra (ee): <br />+ <br />4t Gera to you. <br />• Attach Ihis loan to the Iront of the mailpioce, or on the back it space does not 1. ^ Addressee's Addres:~, ~ <br />peena <br />~ • Write 'Karam Rece~pf Hequesretl'on the meilpiece below the arable number <br />lr The Return RBCeipt wdl show to whom the adide was tlaeveretl and the dale 2. ^ Restllcted Delive <br />ry m <br />y <br />M <br />derrverea. Consult postmaster for fee. o. <br />0 3. Anicle Addressed to: <br />v' 4a~nicle Number u <br />~ <br />«.~ ~ <br />_ <br />c <br />o /~~ v ~~ ~ ` 4b. Service Type <br />^ Registered ~Certiliei 7 <br />~ <br />3~O Q ri ^ Express Mail ^ Insured ~ <br /> <br />7 <br />Po ~ ~r ^ Relurn Receipr for MCrcFrenO~se ^ COD <br />- ~ <br />o <br />7. Date of Delivery ;~B O 7 " <br />G ~ D ~•_ o <br />(Print Nam <br />8. Addressee's Address (Only if requested x <br />and fee is paid) ~ <br />`~ t <br />6. Si na[ re: (Addressee or A e t) ~' <br />'o X _ <br />r <br />~ PS Fortn 3x11, December 94 1025959&e-0229 Domestic Retum Receipt <br />P 436 785 26.E o <br />N rlk <br />N US Postal Service <br />$ Receipt for Certified Ma <br />No Insurance Coverage Provided. t <br />~ Do not use for International Mail See <br />U <br />N <br />C <br />0 <br />ui <br />N <br />E <br />a <br />C <br />cII <br />t'_'~ <br />tto,~ ~ ~ <br />Street J L,/~ e rr <br />P Olf~ te, 8 ZIP Cade <br />0 9 ~,\ <br />V <br />Postage S <br />Certified Fee <br />SpedrJ Delivery Fee <br />pasUicied Delvery Fee <br />Return Receipt Stowing b <br />Wtwm 8 Date Defwrcd ? <br />Realm Flettgl9nrwpnydmi, <br />Dme, 6 MoessaeY Mbess , p ~c,~ <br />10TAL Postage 6 Fees ,S , , <br />Poebnerk or Date ~;i~ . <br />a~ s <br /> <br />