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1 <br />RECEIPT FOR CERTIFIED MAIL-300 <br />SEAT TO <br />POER ! <br />,!\ OR DATE � l <br />�✓\i <br />STEER <br />00 <br />P , STATE, AND ZIP CODE <br />C �tl n 91? <br />TRA SERYIC[f FOA ADDITIONAL TEU <br />Rrlum bee 1 <br />Showa m whom <br />ow Deliver ro <br />Sh a I. whom, Addrsuee Only <br />Anddefe <br />del/vad <br />defq ndwhere <br />delwe..d <br />SOA lee <br />0 <br />a�0 <br />R-1 <br />❑ 10derfee <br />Q ASf fee 1 <br />POD Farm 36DO NO <br />Mar. 1966 <br />INSURANCE COVERAGE PROVIOED— (See other <br />NOT FOR INTERNATIONAL Mer Aid,) <br />) <br />-INSTRUCTIONS TO DELIVERING EMPLOYEE <br />` ;❑Show to whom and [chow to whom, when, and Deliver ONLY <br />when delivered LI aAdress where delivered ❑ to addressee <br />(Additional rbargcr required /or 1Lrtc serf ice,.) <br />RECEIPT <br />Receireel the numbered article described betrne_. <br />REG STUED NO. SIGNATURE OR NAME OF ADORUSEE(.IlaU dwapbelllydfn) <br />D /f9F <br />CERTIFICO N0. <br />SIGNATURE OF ADDRESSEE'S AGENT, IF ANY <br />INSURED N0. <br />I <br />GATE DELIVERED I SNOW WHERE DELIVERED (onl):!rrnaedrd) <br />eee—te—TiGe-T oeo <br />A <br />!IM <br />