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• <br /> P 137 892 816 <br /> Receipt for <br /> 11V Certified Mail <br /> - <br /> No Insurance Coverage Provided <br /> ° ns Do not use for International Mail <br /> SERVICE <br /> ,e <br /> (See Reverse) <br /> z///��� //q�� <br /> Street and _A <br /> Nop <br /> 117f,State a .itAycle ' '�r <br /> (p <br /> r17 <br /> dealt-Pal <br /> �7c� <br /> Certified Fee J <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> m to Whom&Date Delivered 7 (Ta <br /> Return Receipt Showing to Whom, <br /> C Date,and } ddress <br /> TOTA ic.1 �'" <br /> O &Fe .,. "71 $.Z. 029 <br /> o pv,i OfIry <br /> M z <br /> Li_ Ircr C / tJ.) <br /> r <br /> o SENDER: I also wish to receive the <br /> • Complete items 1 and/or 2 for additional services. <br /> e+ • Complete items 3,and 4a&b. following services (for an extra (I; <br /> U <br /> iA • Print your name and address on the reverse of this form so that we can fee): Z <br /> 1,-, return this card to you. m <br /> > • Attach this form to the front o hevnailpiece,or on the back if space 1. Li Addressee's Address rn <br /> E does not permit. 1A, a <br /> o • Write"Return Receipt Requester-on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> r • The Return Receipt will show to whom the article was delivered and the date 6 <br /> C delivered. Consult postmaster for fee. 0 <br /> 3. Article Addressed to: 4a. Article Number <br /> P 137 °I a- to <br /> EE (�'�'t 4b. Service Type 0 <br /> ❑ Registered ❑ Insured <br /> of <br /> aCf wI Certified ❑ COD y <br /> /�. ' } Cl Express Mail ❑ Return Receipt for o <br /> ILI <br /> W GyK �''l�`-' J�1'J CJS�o p Merchandise <br /> cc 6. SiMV:00 <br /> 7. tot Delivery o <br /> � 0 <br /> �C ignature (Addressee) 8. Addresse 's Address(Only if requested c <br /> and fee is paid) W <br /> O 50 <br /> O r• PS For :11, December 1991 su.s.G.P.o.:1902-307-530 DOMESTIC RETURN RECEIPT <br />