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,1 <br /> I <br /> Ir4 <br /> I - <br /> P 590 X24 5`28' <br /> DONALD ]KIRK <br /> HEINZ USA <br /> P O BOX 57 <br /> PITTSBURGH PA 15230-0057 <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee i, <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Y Whom&pate Delivered <br /> Q ReWmReoeV5tm gtoWhom, <br /> a Date,&AiWessee's Address <br /> O $ <br /> �O TOTAL Postage.&Fees I <br /> Postmark or Date <br /> 47 <br /> tL. <br /> a- * ` <br /> k <br /> •a. Soo let item andlor 2 for additional services- I also wish to receive the ` <br /> M ■Complete items 3,4a,and 4b. f011owi erviCe5(for an <br /> a ■Print your name and address on the re of is to a„ ca m s extra �1 <br /> card to you. y �+ 01 cmi <br /> y ■Attach this form to the front df the mall race or i t j t• ❑ Addressee's Address <br /> d; permit. a s'•, 7` a <br /> tD ■Write"Return Receipt Requested'on ttf�'maitpi ce be w the art! a number. 2. ❑ Restricted Delivery y + <br /> at. ■The Return Receipt will show to whorri'04.-'rtide we delivered and the date « <br /> delivered. Consult postmaster for fee. f <br /> t °o; ,4a.Article Number <br /> m DONALD KIRK "L C <br /> HEINZ USA " h 4b.Service Type <br /> 0 P O BOX 57 QC Registered Certified <br /> PITTSBURGH PA 15230-0057c <br /> ❑ Express Mail Insured <br /> t for Merchandise ❑ COD <br /> k ❑ Return Receipt D � I <br /> } 7.Date of Delivery r <br /> f. <br /> Y <br /> 5 5.Received By: (Print Name) 8.Addressee's A ss(Only if requested i <br /> and fee ial ns <br /> i� <br /> g 6.Signatur <br /> M PS Form 3 <br />