GENERAL39809

• Permit No: M1988018
• IBM Index Class Name: General Documents
• Doc Date: 12/3/1984
• Doc Name: RECEIPT FOR CERTIFIED MAIL
• Media Type: D
• Archive: No

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• SENDER: Complete items 1, 2, 3 and 4.
Put your address in the "RETURN TO" space on the
reverse side. Feilura to do this will prevent thin card from
being raturriatl to You. The return receipt lee will provitla
you the name of the person tleliveratl [o antl the tlata of
tlelivery. Far etltlitional tae the following Mrvice era
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available. Cnnwlt postmaster for tar eny~ b ~
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for servica0) rpuetad. f
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1. ~, Shpvl t0 whom, dots an etldlef of delivery.
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2. ^ Retrictetl Delivery.
3. Article Atltlressed t '
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4. Type of Service: Article Number
^ Registered ^ Insured
Certified ^ COD n
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Express Mall Q
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Always obt sin signature of addressee or agent and
DATE DELIVERED.
5. Signature -Addressee
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8. Atltlresea's Atltlrass ONLY 1 KQYt7f an p0
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RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVENAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse) it ,_ ,~/
nt to
treat anttND~ '+
P.O., Stale ntl ZIP Crotle
ostage '~ t ~
Cenified~Fee _ I
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Special Delivery Fee ,
Restricted Delivery Fee
Return Receipt Showing
to whom antl Date Delivered
Relum recelp I w
Date, antl o
TOTAL P e a F g
Postmark e
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