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I <br />r <br />RECEIPT FOR CERTIFIED . 1-301, (plus postage) <br />SENT TO POSTMARK <br />Mr. Dale Kathol OR DATE <br />�. STREET AND No. <br />cc 1026 Pudget Drive <br />P.O., STATE AND ZIP CODE <br />r— —_�.'L monds-,—OPTIONAL SERVICES FOR ADDITIONAL FEES <br />00 RETURN' I. Shows to whom and dale dellrered ........... I5j <br />C• RECEIPT W':'h delivery to addressee only ............ 650 <br />SERVICES 2• Shows to whom, date and where delivered .. 350 <br />With delivery to addressee only ............ 950 <br />• UELIVER TO ADDRESSEE ONLY ..................................................... 50d <br />0 SPECIAL DELIVERY (eMro foe require ..................................._ <br />�i PS Form 3800 NO INSURANCE COVERAGE Pfl0V18E0-- (See other slde) <br />An . 1971 NOT FOR INTERNATIONAL MAIL <br />o cno, 1nS� n - ss1-us <br />(ilf)�t <br />19": Cmokae aa.e 1, 2. and S. <br />Add ywt adLaia in the --Rx?MN TF• <br />1. The followioi ilevim is requested (Cheek e <br />$,x Show m.whaR Said date delivered......_ ... 1 <br />Show towhdm, date. a address of delivery., 35� <br />RESTRICTED DELIVERY. <br />Show to whom and -date delivered.. i......... 65tt <br />0 RESTRICTED DELIVERY. - <br />Show to whusu, date, and address of delivery 85f <br />Q. ARTICLE ADDMMEO TO: <br />Mr. Dale Kathol <br />1026 Pudget Drive <br />Edmonds, Wa. 98020 <br />3. ARTICLE DUIPTION: <br />REGISTERED NO. CERTIFIED NO. INI1 R <br />81762 1!r <br />I <br />eMaiasignalman or addraraa sr aEanU <br />I have received the article described above. <br />SIGNATURE ❑ Addressee ❑ Authorized agent <br />4. <br />DAI F DELIVER= ,S <br />POSTMARK <br />S. DRESs (Complete only If raagusurfed) <br />S. UNABLE TO DELIVER BECAUSE <br />CLEgK'S <br />INITIALS <br />, Gm: 195—O veP. • •, <br />awt <br />a <br />