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xHx n H <br />C1t� <br />9H <br />yy <br />p <br />868 541 375 <br />H <br />Certified Mail Receipt <br />KO <br />for Inte nat one Mae <br />H 0 <br />Do not use <br />(See Reverse) <br />0 0 <br />N <br />(� Seri ro <br />• <br />p z <br />StTW & Noo <br />t� <br />q <br />V <br />I Po.. s1.+ <br />SENDER: <br />items 1 and/or 2 for additional services. <br />I also wish to receive the <br />following services (for an extra <br />O <br />N C <br />rmt•a^ <br />• Complete <br />• Complete items 3, and 4a & b. <br />. print your name and address on the reverse of this <br />form so teal:1. ❑ Addressee's Address <br />y p. <br />H <br />Canror,: <br />that we Can return this cord to you. 7, <br />this form to the front of the mailpiece. or on the <br />N H <br />CA <br />Fi <br />swr„ <br />• Attach <br />back it space does not Permit 2 Restricted Delivery <br />• Writs "Returns notReceipt Requested" on the mailpiece next to <br />Consult estmaster for foe. <br />O IJ y <br />G <br />nn�,,;_ <br />the article number. — <br />3. Article Addressed/nt�u: <br />4a. Article Number <br />$ g S 1.�/ 3'� — <br />C3.1 t�1 <br />L, <br />H N <br />C "', <br />r <br />a� C�7��,p <br />4h. Service Ttypo <br />❑ Register�tly ❑Insured <br />Pe��,,, <br />Dno. & <br />tJ rJ. �pl(, SG ` <br />/fin <br />!/J <br />Qij Certified ❑COD <br />❑ Fzpresa Mail ❑ Return Receipt for <br />&t <br />&fm <br />fn1 //�,'f <br />',yam r LH <br />- - <br />Merchandise <br />Delivery <br />G m. <br />4' �f� <br />7. Date of <br />�— <br />i <br />€ <br />8. Addressee's Address (Only it requests <br />S <br />o. <br />5. Signs r 1 d , l vZ <br />i <br />and fee is paid) <br />6. Signature (Agent) <br />DOMESTIC R`TURN RECEIP <br />pS Farm 11, October 1990 <us.apo-tsea-an <br />or <br />,— � <br />Ll <br />