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N 3 14 7 51 1 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided - <br /> s <br /> �TE45...Es Do not use for I er �o al ail <br /> POSTM SErrVICE <br /> (See Revers ,. <br /> TTN HOMER T.Q41TElk <br /> �gT0P BOX 777 <br /> P.O:,Siate and ZIP Code 72115' <br /> Postage 1 <br /> Certified Fee y� <br /> Special Delivery Fee x. <br /> Restricted Delivery Fee <br /> Return Receipt Showing y <br /> to Whom&Date Delivered 1 <br /> . 00 <br /> m Return Receipt Showing to Wham, <br /> Date,and Addressee's Address <br /> 7 <br /> TOTAL Postage - <br /> &Fees <br /> Postmark or Date <br /> t`7 <br /> E <br /> `o <br /> L <br /> W <br /> 0. <br />