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q q(� <br /> P 479 785 96,6 <br /> US Postal Service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> hies �evaj Sq <br /> P t ce�Slpt) 6 C o Qfit 5205 . <br /> Postage IJC�;U �'1 $l./7 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom 8 Date Delivered l\ <br /> Ram Rm*Stewing to Whom, <br /> Date,d Addressee's Address <br /> 0 TOTAL Postage&Fees Is <br /> P7 Postmark or Date <br /> t°i <br /> N 5 a <br /> a SENDER: /4 �• 1 also wish to rec ve he <br /> v_ .Complete items 1 a or a Mona s c following services(for an <br /> .j •Complete items 3.4a,and 4b. extra fee): u <br /> N •Prim your name and address on the reverse of this form so that we can return this <br /> cad to you. <br /> Attach this form to the from of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> v <br /> m permit. <br /> •Write'Rerum Receipt Requesred•on the mailpiece below the article number. 2. ❑ Restricted Delivery rna <br /> t .The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. .0 <br /> c delivered. 4 Article Nlumber cc <br /> v 3.Article Addressed tto: loe(G 1„ t l it 64 <br /> 'I X05 <br /> ar��Q S� "'1 i� 1 V 1 4b.Service Type v <br /> a ,,.�, I ,�1 mortified oc <br /> o�m i-es 61 P,vIP Y ` ❑ Registered <br /> ❑ Express Mail <br /> ❑ Insured m <br /> � /' ❑ Return Receipt for Merchandise 0 COD o <br /> cc /�� , 04 nos 7.Date , Delivery � <br /> v T <br /> B. ores as Address(Onty if requested c <br /> lz 5.Aeceived By:(Print Name) and fee is paid) f, <br /> W <br /> Q <br /> 6.Signature: (A sses or Agent) <br /> i. X Domestic Return Re,(,-.,,t <br /> M PS Fo 38 1,December 1994 <br />