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• • <br /> <br />P 172 184 119 <br />RECEIPT FOR CERTIFIED MAIL <br />NONOT FOR NTERNAT ONAL MAIDED <br />(See Reverse) <br />• r ent to <br />o a u ~ T. S' s <br /> m <br />~ Street and No. ~ S+ <br /> ado s ~ <br /> ~ P.O., fate and ZIP Code <br /> o ~~o T' ~s7 <br /> a $ <br />Cf Postage ,2 5 <br /> rN <br /> ~ Certified Fee ~ ~5 <br /> Special Delivery Fee <br /> Restricted Delivery Fee ~-~~i~ <br /> Return Receipt Showing ~ a <br />to whom and Date Delivered <br />- - - a Return receipt showing to whom, <br />rn Date, and Address of Delivery <br /> TOTAL Postage and Fees $ <br />~ <br />~ <br /> <br />. <br />v_ <br />c Postmark or Date ':;.il~ \' `•, <br />l <br /> .~+ i ~~~ <br />M s/-~ ``~ <br />~~1 <br /> ~ <br />,~ <br />'~~ <br />~: <br /> ~ <br /> ~-~.~/ <br />- a -•---- <br />• `~~ <br /> <br />