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321 <br /> Mf ° R � 199 <br /> usmice <br /> Receipt far Coalfle " <br /> No insurance Coverage Pe <br /> Do not use for IntematW � <br /> seatto ---- <br /> Street&Number V <br /> Post Office,Still— <br /> Postage <br /> cetar p <br /> Md <br /> fAVtoftom, <br /> �` &r. ;dsAddrass <br /> TOTAL Postaga&Fees <br /> +*� Postinark or Date <br /> is <br /> t►. <br /> �. <br /> r•• <br /> SE � �-r <br /> • m s r 2rtor ad ZintaFS rc Is0 wish.:.to receive the <br /> plate to and 4a&b. following services (for an extra a► <br /> 2 Print your name and address on the revs at i that we can f },gAt1 �r1 <br /> 4► return this card to you. tr1111{.�, / <br /> p,* Attach this form to the front of the Ipi a e back i space 1. ❑„Addresise <br /> does no€;permit. <br /> _ • writel'RfAuraRodbip.tRequested''on c4- h rtieenumber: 2. 17 Restricted Delivery •r <br /> •' • Tt Rdtumifeceiptwilt:showtowh e a the date t <br /> onBtJltpostmaster for fee: V <br /> � dalivei'eG. <br /> S. Article.:Addressed..:to. 4,�t"}A a N r ;= <br /> GLENN BROOKS tb. Service Type <br /> Registered ❑ Insured <br /> FACI.FICCORP FIN�iNOTAL SERVICES c <br /> Certified ❑ coo <br /> 825 N E NItJLTNO>KAH ST STE `775 Return Receipt for <br /> PORTLANI) 1 9.7. .3 .215 . <br /> Express Mail ❑ March Heise �- <br /> . Date of Delivery <br /> 5: Signature{llildresst el <br /> B. Addres Address.(LDnly if,requested v <br /> and fee is aid) is <br /> t <br /> ignat a(A9 <br /> -.c- <br /> PS For 1. December 1991 *US.GPOt993-35i^-718 OMESTIC RETURN RECEIPT <br />