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• t <br /> 1 <br /> 1 <br /> F <br /> i <br /> i <br /> k <br /> P--.8 13 263 960 <br /> RECEIPT FOR CERTIFIED-MA!, <br /> NO INSURANCE COVERAGE PROVtTIED <br /> NOT.FOR INTERNATIONAL MAIL <br /> .. j (See Reverse) <br /> r e. <br /> Sent to� O <br /> e - wQ <br /> Street apolyo � O <br /> P.O tate,and,Zip Code <br /> CA J <br /> Postage S <br /> 'i..... <br /> Certified Fee , �5 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt showing Cl D <br /> to whom and Date Delivered l <br /> un <br /> c% Return Receipt showing to whom. <br /> r Date,and Address of Delivery <br /> ar S <br /> TOTAL Postage and Fees 00 <br /> 3 a: <br /> o Postmark or Date <br /> b. co <br /> C.) <br /> E <br /> 0 <br /> a <br /> N <br /> a - <br />