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P ' 432. 641 -506 <br /> r RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERAGE PROVIDED;r. <br /> NOT FOR INTERNATIONAL MAIL r <br /> (See Reverse Q <br /> Sent to TOM POTVZEI <br /> RO <br /> Street aAqPT T CHER WESTERN <br /> 2 T "' TE -4 0 <br /> d P.O., State and ZIP Code - - +" <br /> n y '2-02 <br /> Postage $ <br /> 29 <br /> Certified Fee <br /> 1/00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> to whom and Date Delivered 1 On <br /> un <br /> Return Receipt showing to whom. <br /> CD Date,and Address of Delivery T' <br /> 3 TOTAL Postage and Fees 5 <br /> 0 <br /> m Postmark or Date <br /> X <br /> E <br /> rn <br /> IL <br />