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<br />. <br /> <br />00 <br />o <br />CO <br />CO <br />N <br />01 <br /> <br />. <br />Q <br />Z <br /> <br />... <br />RECEIPT FOR CER:rIFlEDMAIL-30~k (plus postage) <br /> <br />SENT fO ~ postMARK <br />r~ 011 DATE <br />STREET ANO NO. (!)/J Y' 11t/;? <br />1/5~ <br />p,o" STATE AND ZIP CODE, <br /> OPTIONAL SERVICES FOR ADDITIONAL FEES <br /> ~ ,. Shows to whom and date delivered ....,....... IS\! 1 <br />RETURN 1 <br />RECEIPT With delivery to addressee only..........., 65\! <br />2. Shows to whom, date and where delivered.. 35\! <br />SERVICES . With delivery to addressee only......,..... 85\! <br />~~IVER TO__ADDRESSEE ONLY ,......,....,.......................,..............,.., 5~ <br />SPECIAL DELIVERY (extra fee required) ,............,....................., <br /> <br />PS Form 3800 <br />Apr. 1971 <br /> <br />NO INSURANCE COVERAGE PROVIOED-- <br />NOT FOR INTERNATIONAL MAIL <br /> <br />(See other side) <br />"GPO: 1974 0 - 551-454 <br />