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StNUtK: mom ye sadness <br />Add your address in the "RLTllRN TO" space on <br />rtvene. <br />>i I. The fo •ing service is requested (check one). <br />t ow to whom and date delivered......... —f <br />n Show to whom, date, and address of delivery..-6 <br />Y RESTRICTED DELIVERY <br />Show to whom and date delivered.......... — <br />RESTRICTED DELIVERY. <br />Show to whom, date, and address of delivery.S— <br />(CONSULT POSTMASTER FOR FEES)—" <br />t. A CL a DRESS D TO: <br />S. ARTICLE DESCRIPTION: <br />j *MSTERED NO. I CERTIFIED NO I INSURED NO. <br />i I (Alves" Obadw alfleeee of addra�eaof ddnra or sown) <br />1 be" received the article described above. <br />SIOKATURE ❑ Addressee ❑ Authorized agent <br />d DATE OF DELIVERY N a. <br />. �6, <br />S. ADDRESS (COMPtete enty if requested) !�.j v <br />SLEE TO DELIN <br />RECEIPT FOR CERTIFIED MAIL-30(• <br />(plus stage) <br />SENT TTfTI-�`e' p n <br />POSTMARK <br />OR DATE <br />STREET AND NO. <br />;6 _Sp <br />> <br />-�?•'� <br />Ir' <br />P.O., STATE D ZIP CODE <br />r— <br />OPTIONAL SERVICFOPR ADDES ITIOXAL FEE <br />_ <br />15< <br />RETURN' 1. Shows to whom and data delivered ........... <br />With delivery to addressee only ............ <br />650 <br />CJ. <br />RECEIPT , E, Shows to whom, date and where delivered- <br />SERVICES W.th delivery to addressee only ............ <br />350 <br />850 <br />DELIVER TO ADPESSEE ONLY ... ...........�_•......_-.......... <br />® <br />SPEC IPL OEl1VERY (extra feu required)---^-""""""""""" <br />PS Farm 3000 NO INSURANCE COVERAGE PROVIOTU— (Ste other aide) <br />FOR INTERNATIONhL MAIL „cr,n; leu o • sss-ua <br />Apr. 197 t NOT <br />