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P 221 745 596 <br />US Postel Servica <br />Receipt for Certified Mail <br />Na Insurance Coverege Provided. <br />Do not use for Inlemational Mail (Sae re <br />�mwL iL4=NT wa; sT�: �eN <br />Postpe ,y' <br />Certifiod foa <br />Dalrvery Fee <br />ResuitleE Dairory Fee <br />N <br />� Retum Pxdp15Mwn� <br />WM� l Ila�� hl..��. <br />TOT�L Postege 8 Feas I S <br />Posbnad or Dale <br />//—:�/ - � 7 <br />.� ' _ _ . _ . . _. _� J <br />;; SENDER: � <br />a•Compete ilems I anNor 2 br aEOilional services. I 81So Wish to reCelVe the ' <br />�•compe�a ��ems a, �a, ena m. fcllowing services (for an � <br />�•Pnnl your name eM eOGrens m Ihe �everse al lhie farm so Ihel we can re�um Ihis BIRfB �BB): <br />cerd lo you a� <br />j •Atlach t�is lo�m to the Iront ol Ihe mailqace, q pn I�e EaHi il spece doa6 not i, � Add�B55B0'S Addie55 = <br />� parmit. <br />d •wmowemmaere�v�Raq�esree•m�n��,�aaqac�oewwmeamaen�meer. 2,pRaslndedDelivery � <br />� •TheRelumReceiplmllShowlowlwmlhee�idewastlaliveraEenEthedale <br />C aeliverpd. � <br />o_ Consult poshnaster for lee. <br />v 3. Article Atldressotl to: } <br />d 4a. Articie Number <br />= a <br />oG�L4Nr w�s,-�:R� BiiNK ab.servicerype E <br />" 17 /3 R S� E�'J.'/1 u�G574RN mcP�sq6� p Registered Q�Certified a' <br />'7'/S l �c R 13 i,v N v� N u� ❑ Express Mail ❑ insured �� <br />o /� �' �' I�� .d i D F c f. p7 `j / 3,:! �/ Retum Receipl Por Merchandise p COD '�� <br />c 7. Date of D livery f� <br />� ��d� % e: <br />� 5. Recaivetl By: (Pnnt NameJ _ ,- 8. A essea3 Address Onl il +� <br />( y requesled <br />, � , / . � �/ � anC lee is paid) r <br />$ 6. Signature: fAdMessee orAgenf) �� <br />A /, i'/ ; � <br />„ %�_�'. / : <br />PS Form 811, Decomber'�9gq Dnmasfin Ref„m ae..e�..� <br />