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m <br />33 <br />a <br />c <br />O <br />3 <br />m <br />N <br />t7 <br />9 <br />m <br />c <br />z <br />z <br />a <br />m <br />In <br />• SENDER: Complats Items 1, 2,3 and 4. <br />Put your address In the "RETURN TO" apace on the <br />mane side. Failure to do this will prevent this cord from <br />being returned to you. Th return rocolol too will provltle <br />you the ate a of the pNIon delivered to and the date of <br />dell,*,,.. ForeddltloneI fees we following esrvkes ate <br />avallabla. Consult postmulot for fees end check boxiest <br />fort ",vice(s) requested. <br />1. Show to nhom, date and address o1 delivery. <br />2. ❑ Restricted Delivery. <br />i <br />3. Icfe At)tltes to. ^ <br />L� <br />4. Type of Service <br />Article Number <br />0 Registered ❑ Insured <br />❑ <br />r 7`33 <br />co it <br />%W--Certified COD <br />fQ <br />❑ Express Hail <br />Always obtain signature of addresseeyLagent and <br />DATE DELIVERED. <br />6. Signature— , <br />X <br />6. Signature — Agent <br />X <br />7. Doti of Delivery <br />/V ,9 ✓ . 'K �915 <br />S. Addressee's Address (ONLY! nequnted d e �d <br />9O/6 <br />P 733 150 658 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reversal ` <br />Street an o. <br />P.O.. stet d ZIP4j <br />Postage <br />S <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />Return Recelpl Showing <br />to whom and Dale Delivered <br />Return recelpl Showing to whom, <br />Date, and Address of Delivery <br />TOTAL Postage and Fees <br />f <br />e3 <br />