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UNITEO STATES POSTAI SEflVICE .�� I.�Irl�' I , ,7 , <br /> OFFICIAL BUSINESS � 1 , <br /> i '; <br /> SENDER INST�UCTIONS f � ' � � ��� f� � <br /> 1 <br /> PNnt Y�r n�m�.�Com��nE 21P CoC� t �� ! - I ._ j J ' + <br /> In tM�Wc�bNow. <br /> � t <br /> • CompNb inm�1,3,3.�nA 6 on th� <br /> nrnw. ^ QN 2 1 ��a�j`ci . u�� <br /> • Atbeh to fronf al �nkN N �p�t� .••...................... .. �O <br /> MIW�• otMrwM��Nli to E�ek of �`iIj',r OF......................... <br /> EVERE� PENALTY FOR PRIVATE <br /> • Endorn �rticN "q�wm R�c�lpt Public e USE. f300 <br /> Rpw�tW"�dNc�nt to numMr. WOlkS p p� <br /> RETURN Print Sentler's neme.adtlre�a.antl ZIP Code in Ne aDeta below. <br /> TO � <br /> � �l (7r�Arr P�,✓ D�V /+'GDr <br /> � <br /> ; 320� c�oAk s ; <br /> � <br /> � t� v c= h� �:=r� w !� 9 3 0 � <br /> � <br /> a <br /> P 732 908 37� <br /> RECEIPT FOR CERTIFIE� MAIL <br /> NO INSIIRANCE COVERAGE PAOVIDED <br /> NOT FOR INTERNATIONAL MAIL <br /> (Sev. Heverse) <br /> � � Sent to <br /> '� C t <br /> T Slre�l an0 No. <br /> `� D l �N T Si- <br /> � P.O..State antl ZIP Code <br /> d t= ,_ ^ _ �/,S� o <br /> i ' <br /> c� Poslape 5 <br /> N <br /> 7 <br /> � CBr�ilie0 Fee <br /> Special Delivery Fee <br /> Restncted Delivery Fee <br /> Rotum Receipi S�owlnp <br /> to whom an0 Oate Dellvored <br /> � ReWm reteipt showing to w�om, � <br /> m Daie,an0 AOOress ol Dellvery <br /> m TOTAL Pos�ago anG Pees 5 • SENDER: Cemplete itemn 1 end 2 whan adtliNonel service� ere deeired, end compbte Itemf i • <br /> 3 and 4. <br /> i.. <br /> u Put your adaress in the"RETURN TO"Space an th¢reverso side.Fnilure to 0.this will preveni this card - <br /> $ Postmark or Dato trom being retumetl to yoa Tl,e ietwn recei t lee will rovide ou the name of th, erson delivered to and <br /> Ihe date ol deliver . For ad mone ees t e o owmg services ere avei a e. onsw;postmasrer or ees ' :��r �'.�',:� <br /> � en c ec oK�es or aAditianal service�s�repuestetl. � <br /> � 1. ❑ Show to whom deliverad,dete, antl eddressee'e eddrass. 2. ❑ Re�trictetl Delivary �''�' <br /> E � � /<5� - �t� lEnm charpr) lFirm rhurpr) � - . <br /> LL 3. Article Addressad to: 4. Article Number . . ��' ��`~ <br /> N r <br /> ' l� 7 ja8' 370 ;,',�� <br /> � ' �ylY' �DoilJfJ� p H�7ce ruyceorsarvioe: � �, .- t._. <br /> S O o 7 �TH .5.- .S� 6GI ed ❑ Infured -. - ' ..._�(�� . <br /> Certlf' ❑COO - � - •'�1,; . <br /> 4 V L=R�T- b✓/1 y���� Ezpreee Meil ❑peturn Hecei�t . <br /> for Merchentli�e <br /> Alweys oLtein eipnature of aEArea�ea <br /> or egent anE DATE DELWEflED. ' <br /> ig ature — A d sse 8. Addressea's Atldress (ONLY if <br /> requestrd and frr paiA) <br /> igrnture — Agent <br /> 7. Dete of Deliver� <br /> /� <br /> PS Form 3611, A�r. 19P9 •U8.6.RO.1MF}y.��6 DOMESTIC HETURN RECEIPT <br />