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P 733 15� 669 <br />RECEIPT FOR CERTIFIED MAIL <br />@0 INSURhNC[ COVERAGE PROVIOED <br />NOT FOR INTEANATIONAL MAIL <br />(See Reverse) <br />� Se <br />N <br />n � <br />r'a, Strcet an, No/ ^ _ �L.,� <br />�, <br />P.O., antl ZIP Code <br />° �tt.T�.P� I c�'�C%/ <br />c7 Postago E <br />1/) <br />� <br />� Certilietl Fea <br />�cial �ellvery Fee <br />Postricled Delivery Feo <br />Felum Feceipt Showinp <br />to whom an0 �ale Celivered <br />m Aetum receipl Showing to whom. <br />m Date, antl Address oi �elivery <br />.o TOTAL PostaBe antl Fees <br />�i <br />o Postmark or Dato <br />m <br />E <br />`o <br />LL <br />N <br />a <br />S <br />N �SENDER:Campleteitams1,2,3end4. <br />T <br />� Put your edtlress in ffie "flETURN TO" tpeco an t�e <br />3 �everse sitle. Failuro to tlo thi� will pmvent [�U cerE irom <br />� Eainq rnturnatl ro you. T�e nmm receip� Iw will orovitlo <br />Vou the name of the person delWerM to �nC [he E�ic of <br />�elivery. For etltli[lonel faes M� tallowinB sarvkn ere <br />� evailablu. Comult poctmeaiar tor Nw ��W check boelm) <br />c <br />< lor` I�erv/ice�tl requr,ted. <br />ro 1�how to whom, tleu anC eddreff ol delivery. - <br />w <br />p 2 ❑ Reavi<tsd L�liwry. <br />V <br />� �. A�� aaer ..ed a: <br />� jl �..�,��� <br />�0 v <br />� -� <br />�� e�� �J�9 C��/ <br />4. Type ot Servlce: ArNcl�Num�er <br />I❑ Registered ❑ Insured � ��l <br />�Certified � COU �� � �6� <br />❑ Ezpress Mail <br />Always ohtain signeture o� eddresseeQ,agent and <br />DAI�E DELIVEfiEO. <br />Q 5. Siqnatura — Atltlraqae , <br />0 4 .;�_ <br />3 x . . � � - ��� <br />y 6. Sipnature — Ageni <br />1 <br />n x <br />m 7. Date ot Dqliv�ry� <br />� / <br />C <br />� a drma •.aaaras ONLYijxquertedand�j'eePefdJ <br />� � �gM ,�.�-'.".�.�`°'� 4�r�' J+�I <br />y '..���� ���II <br />1 <br />� <br />