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Z 734 612 575 <br /> � Receipt for <br /> Certified Mail <br /> �� No Insuranco Coverago Provided <br /> �u� Do not uso tor International Mail <br /> ISae Ravarsel <br /> sem to <br /> SirootontlNo.s(� /T,r 8J.�03 <br /> P.O..Stote anJ ZIP CaDo � 9�jp� .� <br /> PosteBa F <br /> 4 <br /> CenilivE Fm <br /> Spe<ial Dellmry�en <br /> RasVicleO Delrvery fce . <br /> n <br /> pmj 11eNrn Fa[aipt S�awing <br /> :o\Yliom&Da1e Detrvemd <br /> L <br /> � flewm Paceipt Showinp ro Wnom, <br /> A Da1o,anE Ada�assea'a AdEress <br /> � TOTAL Postege . <br /> p 6 Feas � <br /> � Postmaik or Date <br /> o ,s'- � r -�I'1 <br /> LL <br /> N <br /> a <br /> '.� <br /> •SENDER:Comple[e(tems 1 entl 2 whon edditlonal servicn are dasired,�nd com0lete.�amc 3 and 4. <br /> Put your addre�e in the"RETURN TO"�pace on the raver�e side.Falluro to do thi�will prevent thh <br /> cerd from being raturned to ynu.The return raceipt tee will provide you the name of the penan <br /> deliverad m end the dete of d::�live .For additione�fees tho fallowin8 sorvices are avellahle.Consult <br /> postmetter cr ees an c eck oz et1 for additionel mrvicelsl,-equested. � <br /> 1. � Show to whom dalivored,data,und addressae's eddross. 2. ❑ Rertricted Delivery. <br /> � �.Articie Addreaaed to: 4.Article NumMr <br /> ? �3 �O� S7•s <br /> r� Typa of Sarviee: � <br /> . DR N P D�ry� {.� � ATrY � Raginered e Inturad <br /> � ,S4 �rt �3a Ce;tlfied COD <br /> � Express Mail <br /> �N� �lN/�N SQu/7' RC qlweysobtelnsignatureotada�resseeo7 <br /> SE �jTJ"LC�T wp 98ioi- 3i9.2, eg�.ntandDATEpELl1(iRfi4. <br /> b.518nature—Addressae 8.Addreu�a's AJAr�a( NLY ff <br /> � requested a�id fee pa1dJ <br /> 6.Slgneture—/� t <br /> X I ' <br /> 7.OeteofGlivary � � � , <br /> PS Form 3811,Peb.1986 DOME&TIC RtlTUlIN R6C�I.�T <br />