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p .:;8 54L 1�34 <br />Certified Mail Rec�ipf <br />� No Insurance Covera9c Pro�i°c'�1 <br />- Do nol use fo� Internalional Mail <br />semlo <br />Slmei 8 No <br />B <br />Po:.la�e <br />� ��—��� <br />�rpryLotlFo�. <br />$�CC�� I DCi VClY ���' <br />Reslncica Dcl�wry Fr.e <br />Remrn RecciD� Showinq <br />\`�' �o WM1om 8 Omo Coliveretl _ <br />�— R=:um Reccip� SM1owmp In N'nom. <br />-� o.,w. a aaa�e�s oi o�i���rv <br />� _ <br />� <br />� TOTAL Posv:9�• <br />� d Fces ,� <br />mPnstmziw o� L.v <br />� ���� <br />r- <br />� <br />c� <br />� <br />� SENDER: <br />9 r �,� �� • Complete items i andlar 2 for additional services. <br />P r •': �' • Com Iete items 3, and 4a & b. <br />� �' • Prin[P our name and address on the reverse ot this iorm so <br />�� iha[ we can rewm Ol�' card m you. <br />� - • At[ach this form to Ihe front o( Ihe mailpiece, or on the <br />back if space does noi permit. <br />. • Write "Retum Receipt Requested" on the mailpiece next ta <br />.�_ ....:,.i.. .��imher_ �--- <br />I ,' <br />� <br />� <br />L __�___" _wene.��v <br />to: <br />SYLVAN AYA <br />523 EAST DF.NNY I�AY <br />SEATTLE, `•1A 98122 <br />Form <br />4a. <br />I elso wish to receive the <br />following sr,rvices (for an extra <br />leel: <br />1, ❑ Addressee's Address <br />2, n Res[rir.ted Delivery <br />Consul[ postmaster �or tec._ <br />46. Service lype <br />U Registered ❑ Insured <br />�' Certified � COD <br />❑ EKpress Mail ❑ Retum <br />.�,.., �.: <br />c U.S. GPO'. 1990-2]166i <br />fee is <br />tor <br />requested <br />DOME:;TIC RETURN RECEIPT <br />