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P 868 541 135 <br />� CertHied Mail Receipt <br />� No Insurance Coverege Providetl <br />_ Do not use for International Mai1 <br />.J /( `'/�' QGI'l� . "Jft <br />^\ P.O. te 8 ZIP o0e � <br />v � <br />� �`�� $ <br />\` c.nnMa r.. <br />\T <br />C\ ' s�x�n or�ary r« � <br />n..��cna oNn.rc �.. <br />Mlu�n Rsqiq Sl�a�+iq <br />� m vman a ow oer..iea <br />^ Ralurn R�npl SMwinq b WMm. <br />� Dtl�. l MC�au d DNNery <br />� fb�mN d Utl� �� I I <br />� I <br />LL �� <br />a <br />�, ..._.......,_..,- _- .__ .�.... . . _ __. . .. � <br />..SEN � ��� 1 also wish to� receive the � <br />'• ComWate Hems 1 endlor 2 for edtlrtionel servica� �d�a�„ing ferv�ces (for an aztra <br />. "��ComPlete items 3,�and 4a 8 b. . ��:- •:- . . . _. '- . . ... _ _., . . . -.... _'' . <br />�r'.� pdnt your neme and addrou on the rovena of thie iorm co }aeY. . <br />'; ffi�t we can rotum thia cerd ro you. �� - � � 1. ❑ Addrcssee e Addreae . <br />`� �• Attech thie form ta tha front of the mailpiecro, or on the ��� .� <br />� beek if apxe doea not permit. � � �� ' 2. ❑ fleatricted Delivery �� <br />ti-.,yy. Wdte "Re1��. Receipt Re4uested" on the meilpiece neM to Cormutt oetmaster tor fee. <br />i- xthe Micle nurtM6r � � 4e. Article Number . <br />3. Articls Addre�sad to:. � � � ._ .. . . . <br />�- u....'{ � _ � . . � „'�,�, �i` . -' � 13�= <br />+ ' y.)in,5. '" •. `, . . <br />;, � r . . . . Service TVPa ' ._. <br />/ . ., �l] Repiriered ❑ Imured ... . <br />DIANE'TtERRERA �cenirea '7 coo <br />�' ., �qp7': gTH ST S.E. ❑ Exprese Mail O Retum Heceipt lor <br />' EVEFETT� WA 982�8 Marchendiee <br />� � 7, Date af Dellvaqry <br />���11�" 1--- . 8. Addrossege's Addmse (OnIV �� reQuasted <br />�aneture IAddreaseel and Poe is paidl <br />eu.s. aro: +wa-s*.+m+ <br />N <br />