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P 459 380 327 <br /> RECEIPT FOR CERTIFIED MAIL <br /> KOItiSURANCE GOJEPwGE Pt10LiGC� <br /> HOi fOPINiERNAti0N4t MRiI <br /> /See Reverse) <br /> Senno <br /> OL � l i t�L � / <br /> Slreel and No. <br /> — x'i ox S3 �• <br /> a P O $Iaie antl ZIP CoOe <br /> � Fc ^ % �v r� 9,y 3 3 <br /> � P�stage 5 <br /> Cembetl Fee <br /> Sp^ual DeLrery Fee <br /> Rmmctea Oe�ivay Fee <br /> ReWm Receipl ihowing <br /> to whom antl Dale Oelive�etl <br /> N <br /> m RCWm Fecc�pl Showmg Io w�om. <br /> � Dd1E,l�d Adtlry55 01 OPIrvCfy <br /> U <br /> j TO1AL Pos�age an0 Fees S <br /> -a <br /> 0 <br /> o PosU++ark or Oale <br /> m <br /> e� <br /> o C�' — � ` CI / <br /> LL <br /> N <br /> a <br /> _ M1 <br /> � SENDER: I also wish to �eceive the <br /> �p • Comp�ele items 1 entlro� i lor edtlitianel servias. <br /> � • Comolaie�mms 3,and 4e d E. following smvices Itor an ez[ra Y <br /> • Print your name enE eddr3es on�he mverse ol thls larm no Net we:en I �Re�: t <br /> � m reWm Nis ca�A�o yau. O <br /> ; � • Atlech this lorm m�he Imnt ai the mailpieca,or on the�eck il space 7. ❑ Add�eSSBa'S Add�Css y <br /> does no�Oermit . � p <br /> , � • Wnte"RewrnReceio�ReQuestee"onihemeiipiecabeiowfinenicionueiroer. ;Z .❑ Restrit�ed Delivery • <br /> m <br /> • TMReWmReceiptwills�owtowhomthearticlewesdelrvereCanCthedeta ConsWv ostmasterforfee. � <br /> � tlelimmd. <br /> � 3. Article Add�essed to: 4a. Article Number E <br /> « yS � �'t�� � � « <br /> � o u/x1�N 4b. Service TYPB ¢ <br /> E V/G�-p KN ❑ ReBistered ❑ Insured <br /> � �fT �l 8ox S33c °i <br /> N �Certified ❑ COD .y <br /> �n G��(S �V/� yK 33 � ❑ Express Mail ❑ Retum Recei�t for o <br /> w F Merchandise o <br /> ¢ .. <br /> p 7. Date ot Delivery � <br /> °a /5l'r� > <br /> � 5. Sigqdtura ddresseel 8. Addressee's Address IOnly il requested� <br /> // and fen is paid) � <br /> � �ti s .tv �C -.- r_�_ r <br /> pp 6. Signawre (ABent) <br /> � PS Form 11, Decemeer t991 eu.s.aPo:i� DOMESTIC RETURN RECEIPT <br /> 0 <br />