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p 459 380 �29 <br />RECEIPT FOR CERTIFIED MAIL <br />uo ir:sunauce covEaaee vwvm�o <br />rvot FOR iHrenr�,�iwr�n� nim� <br />(See ReverseJ <br />Sen� io <br />1 � <br />Sbrel /n'nd No <br />5 ;1 <br />d <br />n P O, Siale an� ZIP Code <br />� % ' L 4' <br />N <br />� Pasiage <br />Cen�i�,c0 Fee <br />Spec�dl Delrvery Fee <br />i±es�ncled DeLvery fee <br />Felum iieCeipl ShOwmg <br />to whom and Dale Del�,veretl <br />N <br />m ReNin Rete�pl Showinq lo v.hrm. <br />Daie. nntl �tlAress ol Delrvery <br />u <br />� TO1AL Posla9e and Fees <br />� <br />0 <br />o Poslmark o� Daie <br />m <br />n <br />. <br />°e <br />° �'- C- -y� <br />N <br />a <br />M1 <br />°' SENDER: <br />v <br />•y • Cample[e items 1 and/or 2 lor additiowl services. <br />m• Complete irems 3, and 9a & b. <br />�• Print yaur name and xtltlress an thc revt� :o ol tliis �orm sa �hat �vc can <br />m rnC�m Ihis card to you. <br />�• Auech this form m the irom of the mailpiero, or an �he back il spaco <br />m <br />� daes not permi�. <br />m • Write"fietwnReceiptRequested"anthemailpiecebelowthearticlenumber <br />� <br />• The Retum Receipt will show w whom the erticle was delivered and ��c tlam <br />� aelive�ea. <br />m 3. Article Addressed to: 4a. Ar1 <br />a S rl v�N ��/� 4b�sy <br />E 9 <br />$ S 23 /; �cNN/ we9/ �Cen <br />w S LJ fi TT � L u� 11 �T �i�'�'? ❑ Expi <br />O�' 7. Dau <br />?. na re d resseel/�L�`�-��� 8. ada <br />� � <br />F <br />s 6. Sirnature IAgenq <br />� <br />0 <br />> PS form 3611, December 1997 A0.S.GPO:1B82-�7i3i02 DOMESTIC RETURN HEGEIPT <br />H <br />I also wish to receive the <br />follewing services (for r,n extra � <br />tee1: 'Z <br />1. ❑ Addressee's Address y <br />2. ❑ Restricted Delivery m <br />ConsWt postmaster for tee. m <br />le Number � <br />� <br />9 3Fc- 3�9 _� <br />ice Type m <br />�.ered ❑ Insured � <br />rn <br />ed ❑ COD E <br />>s Mail ❑ Return Receipt for � <br />Merchandise p <br />�f Delivery +- <br />�- �-y� � <br />0 <br />r <br />ss ee's Address (Only if requested �e <br />�e is paidl � <br />H <br />