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RECEIPT FQR CERTIFIED •'AIL-30s� (plus postaQe) <br />SEN7 TO POSTIMRN <br />%iT. Kl1Yt ��.�.15 �RWTE <br />SfPCET pND N0. <br />1131 Pine St. Apt. 10 <br />P.O., SiATE 4ND 21P CODC <br />Everett, _ WA.___9_8_201 <br />� OPTIOM�I SEPVICES fOR �OOITION►L iEEf <br />RE7URN I. S�Ors 16�w�om anE Ei4 Ee16mC ........... ISf <br />RECCIPT W�t� E<Ilvery IO aECressee Only............ 65� <br />7. S�awi lo r�em, date m0 whR� lNInM .. 35� <br />S[NVICFS Witn aelivery �a aUOrtuee onry ............ /S� <br />_ _ . _--' _ _ _ — " <br />� UEIIVER 70 ADOPESSEE ONLT __._...._...._ ......................_........... Wf <br />--_ _ _' <br />SPECIAL �EIIVENY (�xtro (w nyuinA .....................�.............. <br />PS Ferm 3800 NO INSURANCE COVER�6E PIIOYIOED— (S�� o�M1�r iid�) <br />A��• �971 NOT fOR INTERXAilONI1L M�IL e r.ro. i=-� n. ssi-u� <br />,o..,.�� <br />1. The (ol lowing xn'i.< is reyue�led (ch[ck one). <br />� Shov to whom and dne delivercd. .. .... ..._ _C <br />(� Show to vham, d.te, �nd �ddress of delivery. �—i <br />� RESTRICTED DELIVERY <br />Shov to vlwm �� d+te deli�xrcd. .. .. .....—C <br />� RESTRICTED DELIVEIIY. <br />Show �o �hom, d�rc, �nd addreu of delireey.f— <br />(CONSI�LT POSTMASTER FOR FEES) <br />i. M�ICIE 1100110/tD TO: <br />Mr. 1(urt 011ie <br />1131 Pine St. Apt. 10 <br />!. �UlrlclE ocscarrron: <br />11(015TE11ED NO. CE11T�f1ED NO. I INiU�ED AO <br />I 081731 <br />i IN�MaYrMYww�nddlwrw�l <br />I hwe reteiwd the Micle deacribed �bovr. <br />SION�TU�E ❑ Addrcuee ❑ Authorixed aR�nl <br />�. <br />p11R Oi DELIVERY <br />S. 11DO11ESS fCampNb onlr If <br />6. UN�SLE �O DELIVER tEC <br />�} e�a mtvtn� <br />a <br />