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Z 052 609 587 <br /> � Receipt for <br /> - Certified Mail <br /> ,o,-� No Insurance Covura8e Provided <br /> Do not use for Incemationet Mail <br /> (Scc Roversel <br /> senl�o w�at�rl.., a�uc <br /> T N ��4�� � <br /> / -p� <br /> Suttt an�No <br /> � � t SF <br /> P O_SOIe anp ZIO Ca�e <br /> SboNan is.t w�9 8 <br /> Poste9e a <br /> V <br /> CerMcO ftt <br /> $MCUI ppliyp��(p�. <br /> FP6�eK�PE�pLVMy ky <br /> � Reiwn qecerOt S�owmg <br /> � b l'.'nom 6 D�te p�p���p <br /> .e Nolam peceiol Snawinq�o Wtiom <br /> e Da�e.an0 pp��ebsx'i AEEress <br /> A <br /> � tOfAlPos�aBe <br /> 0 8 fen b <br /> 9 <br /> 0 Poslmark or Date <br /> m <br /> � <br /> � <br /> � /,� - .� Co - 95_ <br /> a <br /> ' SENDER: <br /> q • Complate�hms 1 entl/or 2 lor eEtlitionel�ervicas. <br /> o • �omn�ete items 3.entl/e 8 E. I also wish to receive tho <br /> �� • PriM your neme end eEtl�ea�on the rcvene o1 thii lorm w Ihet we nn f�II�W��A SBfvic85 (fnr an extra Ci <br /> retum this nrtl to you. <br /> f@P�: � <br /> ` • Attec�this lorm ta the Iront ol�he m�ilplece,or on the beck il ip�ce � <br /> o aoea not oermit. 1. ❑Addressee's Address m <br /> � • Wri�e"RetumqeceiplRequeaetl"ontMmu'I y <br /> o • TheReturnpeceipiwillehowtowhomthearticawe�defvaeGe'ndtheEete � <br /> aei��a,a=_ 2. ❑ Reatricted Delivery <br /> e 3. Article Add�essed t�� Consult ostmester lor lee, � <br /> s 4a. Anicle Number fC <br /> a wi� i�nna Nu<9i�vr l� a— L*' y E <br /> E TAA1NN17N �14[ n S ✓ � <br /> � i3�d a r m/7 27 iN 4b. Service Type m <br /> y ❑ Registered ❑ Insured ¢ <br /> ¢y /Cc II iS�si P! SC �Cenilied ❑COD � <br /> � ,S N o v r„���� w� ���yG ❑ Express Mei� ❑ Retum Receipt (or � <br /> Q� 7. Oete ol Delivery Merchendise <br /> ,o`` <br /> = 5. igneture (Addressee) /�—a — `� � <br /> 8. Addressee's Address I0n1y i1 requested,Y <br /> and fea is paid) � <br /> ¢ 6. Signature (Agentl m <br /> � <br /> F <br /> a PS porm 11, December 1gg1 aus.avo:tw�szau DOMESTIC RETURN RECEIPT <br /> V <br />