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P 2 351 676 <br />~~ t <br />~~. ~ ertified Mail ~ <br />N a verage Provitletl. <br />n ! ~rc nr Infmm~ennol Ilea /C..n .n.n......r J <br />~~ <br />:' <br />C <br />C <br />Y <br />U <br />0 <br />tta ~r -C5 _.-._ -------- <br />°~f~ r o ~ C d <br />et a Number <br />o BOIL / 3a ~ <br />ia, Ste e, a 21P e <br />3 e - O b'/52fo ~ <br />~ <br /> <br />Postage <br />.. ,~ 7 <br />. ~ <br />Certifie0 Fee.; <br />Spedal peliwry Fag f ~ - -,~ ~: <br /> J <br /> V <br />Reseided Delivery Fes <br />> C <br />~ Ratum Receipt SlaxNg b (D <br />' N'toom a Date Oekverad ~ <br />Realm Rece~lSMxng is Yllxm, ~p <br />D2I9. a pdpemBg~s pdNas 1 <br />~ TDTpI Postage 8 Fees <br />~ S C <br />PosMadc or Date <br />' a <br /> <br />1 C <br /> 4 <br />d SENDER: <br />9 •Lomplale ileme 1 endlor 2 for additional services. <br />w • Complete dame 3, /a, and Ib. <br />N • Prim your name end eddre89 on the nlwrae of Ihi9 form 6o that we ran velum this <br />`e card to you. <br />~ •Atleoh this form to the front o/the mailpiere. or on the back i(specB does trot <br />~ permit. <br />y • Wrile'Return Receipt Requested' on Ina rnailpieCe below the artiGe number. <br />• The Relum Receipt w+ll snow (0 whom the arlitle wan delivered end the date <br />~ delivered. <br />0 <br />~ 3. ANCIe Addre~ ss^yed fo: 4a. p <br />a 1--a Yf ~ 71 ~C~11'~l t" <br />V ,- ~ /~ 4b. Service <br />I also wish to receive the <br />IoAovring services (tor an <br />extra fee): <br /> ~ <br />1. ~ Atldressee's Address ~ <br />2. O Residcted Delivery y <br />Consult postmaster for tee. <br /> <br />- (vl~e~~0Y11 ~~ ^ Registered <br />~(~ ~ ~ ~ ^ Express Mail <br />o~O `-'- ~ n ^ Relum Receipt for <br />_ ~ 5 IP / G ~~ GJ Z~ 7. Date of DeliveG <br />5. d q ~'~By: (Pdnt Name) B. A ressee's AdC(Pdnlt..Name) 8. A ressee's AdC <br />' 1 ~G'~~``"~ ~ eys d) <br />// <br />. 5igrtature: Addressee c,Ag ") / <br />r X ~ '~n <br />S Form 3811, December 7994 ~ DOm <br />u <br />m <br />'o~ <br />^ Certified m <br />^ Insured S <br />J] COD ~ <br />.F <br />r . <br />requ-sted ~ <br />1~1 ~llrir-lii~l~ lii^ <br />