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P L84 583 833 <br /> Certified Mail kecc-irt <br /> No Insurance Coverage Provided <br /> Do not use for International Mail <br /> U D5TTE5 <br /> VOSTKS,i, (See Reverse) jhs .31 <br /> Sent to <br /> Street o. <br /> P0,31we&ZIP Code <br /> C� <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing _ <br /> to Whom&Date Delivered <br /> m <br /> Return Receipt Showing to Whom, <br /> c Date,&Address of Delivery <br /> TOTAL Postage <br /> C &Fees <br /> co Postmark or Date <br /> M <br /> E <br /> 2 <br /> co <br /> CL <br />