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Z 187 935 627 <br /> US Postal Service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br /> not use for International Mi <br /> Sel S <br /> Sent to aee reverse <br /> Street&Number <br /> Post Office,State,&ZIP Code <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> 1.0 Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Return Receipt Showing to <br /> Q Date,&Addressee's A�ddressm' <br /> O <br /> Go TOTAL Postage&Fees <br /> EPostmark or Date <br /> W <br /> a <br /> �• �r- <br /> „ SENDER: <br /> •Complete items 1 A� `~ ��.ry✓v1 e{5 r"' <br /> and/or 2 for additional services. <br /> H *Complete items 3,4a,and 4b. n,f <br /> ■Print your name and address on the reverse of this form so that we can return this <br /> I also wish to receive the <br /> � card to you. <br /> > ■Attach this form to the front of the mailpiece, following services(for an <br /> permit. P or on the back ifs extra fee): <br /> w 2Write'Return Receipt Requested' Pace does not <br /> The RReceipt9 sted'o <br /> e numbe <br /> etum wi n the mailpiece 1 ❑ Addressee's � <br /> C _delivered. <br /> II show to whom the article was delivered anld the date essee's Address ° <br /> a <br /> 2. 0 Restricted Delivery fn <br /> Consult postmaster for fee. c <br /> CL 4a.Article Number u <br /> E 2 /5' 7 <br /> ANTII0I7Y �3S 3 7 <br /> 105 j OT GL©RIA SOUZA 4b.Service Type C <br /> LTRA,Cy AS 95736 ❑ ExprReglessrMail Certified cc <br /> a ❑ Return Receipt for Merchandise El Insured <br /> Z p ❑ COD <br /> ¢ 7. Date of Delivery <br /> w 5. Received B o <br /> Y (Print Name) a <br /> Addressee's > <br /> s'Stg L e_(Addres gent and fee is A dress(Only if requested w <br /> or A � Pai <br /> ro <br /> ---PS 6 rm 3811, December 1994 <br /> 102595-97-e-0171 Domestic Return Receipt <br />