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P 684 583 417 <br /> Certified Mail l"Wc,QFW <br /> IVA!*No Insurance Coverage Provid <br /> Do not use for International M <br /> W DS*R (See Reverse I <br /> Sent to <br /> Street& o. <br /> a 7T iWnt <br /> PO. State&ZIP Code <br /> Poslag (/,Qt $ <br /> Certified Fee y� <br /> Special Delivery Fee G7 <br /> Restricted Delivery Fee <br /> Return Receipt Showing rqD <br /> T <br /> to Whom&Date Delivered ! <br /> m <br /> Return Receipt Showing to Whom, <br /> Date.&Address of Delivery <br /> TOTAL Postage f! <br /> C &Fees <br /> Postmark or Date <br /> E <br /> O <br /> LL <br /> a <br />