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• <br /> • <br /> P 137 892 815 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided <br /> ammo= <br /> POSTED STATES Do not use for International Mail <br /> POSTAL SERVICE <br /> (See Reverse) <br /> Ft ' lb' :.:__. .....M4.4..t•v <br /> a��,No.04.„6.41.41, Il iii <br /> Fri&State and Z?Co•e ,� <br /> a ' /a ,l ' Al U <br /> • <br /> Postage i $ •02./ <br /> Certified Fee v/, <br /> Special Delivery Fee 4D <br /> Restricted Delivery Fee <br /> • Return Receipt Showing J <br /> • to Whom&Date Delivered <br /> te Return Receipt Showingito Whom, <br /> SDate,and Ad�.y• ;mss <br /> 7 <br /> "') &TOTAL P. r, A Q" '1 <br /> C &Fees 77 � y� Oi cX- <br /> O <br /> O Postm:if Date <br /> M <br /> E 1QQ9 <br /> .5 <br /> Lt- <br /> (r)TO <br /> a <br /> I also w �Cei"e the <br /> ^% SENDER: or an extra <br /> • Complete items 1 and/or 2 for additional services. following S6 CJ <br /> •N • Complete items 3, and 4dr &b. <br /> fee): <br /> y • Print your name and address on the reverse of this form so that we can1 ❑ Addressee's Address 0 <br /> a) <br /> of return this card you. <br /> > • Attach thisform the front of the mailpiece,or on the back i space <br /> a <br /> m does not permit. 2, ❑ Restricted Delivery •5 <br /> a • Write"Return Receipt Requested"on the mailpiece below the article number. v <br /> Consult postmaster for fee. <br /> C • The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. 4a. Article Number c <br /> 0 3. Article Addressed to: 13 7 �• 02 2) S 3 <br /> d d <br /> y e IA, 0),,e,c, —t- 4b. Service Type <br /> CC <br /> a II�� f j� ❑ Registered ❑ Insured C <br /> ff <br /> 0 S06 C/ Certified ❑ COD y <br /> / Return Receipt for c <br /> k+ CI Mail ❑ o <br /> ti n lc SS-j Merchandise <br /> O 7. Date of D-live. c <br /> 0 <br /> Q '— T <br /> Q <br /> 8. Addressee's Addres (Only if requeste R <br /> l 5. Sign. ure�ddressee) and fee is paid) t <br /> H <br /> —� <br /> 1nt) ` <br /> i <br /> cCI 6. S'e <br /> 5 '' ' .- <br /> ai PS ••orm ;:1i ,'December 1991 ,O U.S.G.P.O.:1992-307-530 DOMESTIC RETUR�CEIPT <br />