HomeMy WebLinkAbout20230731_Greencards a pmm e o-
Flu
O=
r-9
main= a, -
ru nit i
FU CertRled Mall Fee PIJ CeMfieci Mail fee
® Extre Services&Fees(checkbox,addfeeasappmpnate) - ® EXtrd SENices&Fees(checkbox,atltl tee as aAProp/late)
0 ❑ReNrn Receipt(harticopy) $ ❑Rewcencedrit(hordeew) $
Q ❑Realm AadApt(ele,e,onic) $ Postmark ❑Return Receipt(electmuic) tt Postmark
M1 ❑Certlfletl Mail Restricted Dellvery $ Here ❑Certlfletl Mail Restricted Deliveryy $_,_ Here
RU [j Adult Signature Required $ Fti Adult Signature Required S
Ln Adult Signature flestdcted Dellvery$ tN Adult Signatum Restricted Delivery$
Postage postage
® $ .. _ $ ..
ra Total Postage and Feas Total Postage anri Fees '-
P-
O $ ® $
Sent To RGI- V4O f; L err
Sent To
o �f-LnS� �rN ad re L°. Gress _______________
rp Sfreef and Apt.NO.,or PO Box No, ap SPreePand ppt.IVo.,or YO Eox Pfq. �� ���-�-��_.__._.'_.,._._'.__..
Ln 4 U 6d- _�e< �--R� ------------------------ LO `I039 r -L,,1 42n� ..,.
o city,stale,zip Lt d�-v. N c Z?3 5 6 -- o ciiy sta yid c N c Z 8 3 5 6
to CO
MMIMMM
le gg Ss�.
r '. ru
ru �,.
Fill Certified Mall Fee ru Certified Mall Fee
0 Extra Semil&Fees(checkbox atltlfee aa2pPsindere) 0 EXtra SeNICes&Fees toheckbox,atltl rep It coneoprlafe)
® ❑Return Reeeipt(hardcopy) 3 M ❑Return Recaipt(haNcepy) $
❑Ratum Race pRestrited o) $ Postmark
❑Return Recept(eiectren c) $ Postmark
� ❑cenniea Mal Restricted Del very $ Here II ❑certlred man Rosvded Darvery $ _ Here
r` ❑Adult Signature Requll $ P' ❑Adult Signature Required $
ru ru
Adult Signature Restrctetl Delivery$ DNYI ❑Adult$ignature Restricted Delivery$
Postage
Postage
® ® $
1-9 $To#a3 Postage and Fees .. r-1 Total Postage antl Fees -
. M1
E3 O $
® $
Sent Ta Sent To
117 fDtAVeT- M_ .+OVI Q- W iJjim f lelun S Iq �l�v t n
_._......., __........._.,......._..,.._---------------------
- ---------------- ----- cp Srosetand Apt.No.,oresOBox Mo.
Streetand Apt l3o.,or FO Box No. Irf 55H gar. ✓v,. (�r.
)T City state,Z/PW6 ----- -------------------------------
Er Ony,Srate,
ZIF+4°0
�,,,,�e,,,, tre Z83S6 Fw }�cv(tl� n/G zB3e3
t
Ir jru
YW?,
.o ® ° 9® Ln
ru
,r4 °a s a °
ru
nJ GertlLad Mall Fee ru Certfred Mail Fee
Lr)
O Extra Services&Fags(oheskb x,add lee asapprbririete) - O Extra Services&Fe6s(checkbox,atltl fee asappspdate)
❑Return Re pryhardcopy) $ � �ReNrn Receipt(hardcopy) $
O ❑Return Recept(plectrone) $ Postri ❑ReNrn Receipt(elecbeeld) $ Postmark
P` ❑Certlfletl Mall flestdcted Dellvery $ .Here M Certified Mal Reelected Dellvery $ Here
ru [I part Signature RequTetl $ r 7]Adelt$19taN Feel iretl re F $
Ln F1Adultsi9natura Restrcted Dellvery$ ni
Ln
�gdNlSgnaturafl totted Delivery$
Postage Postage
O $ O $
Total Postage antl Fees Total Postage and Fees -
N
O $ O $
Sent To �OI^� Sent To �y�m W Gc(trd o lnda C��ol 13ai� J
a ------- ------- - -- - -- ---- - -----------
ca Street antl Apt PJe.,or PO$ox No. ep Street and Apt.NO.,or PO Box No.
`n {_a�..._llil?uu �'r] - - `n �anasS__V�oiw+e �r
C%ty Sfafe,ZlPi-0® I _ .. ---- ---""'-"-------" Q' biPy,_Stafe,ZlP+40° f -
L,�i Tot,. NC Z�Syb N. M le. E'xR.d- -5C, 7ci 5Yi Z.
ma ° a
frt
� ry
s
tll
ru ra^^ c at4
Pu Certified Mall Fee fll Certified Mol Fee
LII 1—
Co Extra Setvices&Fees(Checkbox,add Axisappeppreta) ® Extra ServiCEa&Fees(ohtekbox,add feeasappfapdafa) -
C3 ❑Return Rxelpt(hadeopy) $ ® ❑Return Reoelpt(hardcopy) s
❑Return Recelpt(eluetronc) $ Postmark ❑Return Riaer,A(eleatronc) $ Postmark
O ❑Carl tied Mal Restrctetl Deleery S Here C3 ❑Cer[fed Mall Restricted Dallvery $ Here
ry Adult Signatu reRequ Ret
ained l $_ � ❑Adult Sgature Required $
N ❑Adult SlgnePuo Rstrated DeveryG N ❑Atlult Signare Rahaed Devery
�
Postage Postage
® $ a Total Postage and fees -
TOtaR PPat39¢aSltl PEES r
.. ry g 9 -.
Cl171-
Sent To ® Sent To
)r w llltcwh Terry far{ t ®' - - ndApt. -
cp SVeef and Apt No,or Pp cox No '�� �� " � '', cp Street and Apt. oar PO Box No
60 4 11 �I w pe l-..��i ll � C [ Ir — 'State,-�p 3 f`1_TLd�Y I -------------------------------
0.., City State,ZlP+4�6r(1 U\I�{J Nc LT✓V�__.._.____-_____ 'I 0" City, ZY�-OZoIL4
ru
ru
-
-f �y,
e fu
fL Certified Mail Fee ❑J Certified Mall Fee
$ $
O Extra So vices&Fees(checkbox,add fee aaappropnafej L Extra Services&Fees(cheekbe iist fee asappropaers
0 ❑Return Recelpi,Paidcopy) $ "� ® ❑Return RvellFaMcopy) $
❑Return natant(electronc) Postmark ❑Raturn Fecept(eledmnc) $ Postmark
1:3 ❑Cell Mal lactrded military $ Here ® ❑Certified Mall Restrcted Delver, $ liar.
(r ❑Adult Signature Required $ li ❑Adult Signature R q'red $
tt� ❑Atlult Signature Reetr nted Delivery$ ❑Atlult Signature R Irictetl Delivery$
Postage Postage
C3 $ C3 $
load Postage antl Fees r l Total Postage and Fees
O $ O $
Sent To Sent To
tr F3e++ /Vlcleaw
-- ------....m d r--, -?�------------------------ _----------------------
ep Street andApLN or P06ox A'o. Streetand No.,or PO Box No.
u y 5__F4 C 5..._ d - - ' `t — -- z4 4 0
�' Cify,Sfate,ZIPWe - -- - 0"' City,State,ZIP+4°
F oHev;uL , tJf zg3�i L;,dugv , Ne Z$356
a FuMEM
N � N
fL Certified Mall Fee fl.l Certified Mail Fee
Ln
M Extra Serice$&Fees(chechdox add Yee asappippdate) ® Ora Services&Fees(heekbox,addfee teeepadate)
M El Return Roceipt(hardcupy) $ ❑Return Rl quraltv,r) $
❑Remm Rece pt(eleetrorie) $ Postmark El Return Receipt(elerrromc) $ Postmark
0 ❑Certified Mal deal Darvery $ Here ® ❑Cirri Ed Mal Reehcted Delivery $ Here
ry ❑Adult Signature Required $ rry ❑Adult Signature Required $
tl.l ru
Ln ❑Atlult Signature Resiric[etl Dallvery$ Ln ❑Adult Siynature ResVictetl Dallvery$
Postage Postage
� To#al$ Postage and- O Tests Postal a and Fees
Fees - ry
ry $
$Sent To Sent To
rr���
q] Streetantl A,ot.No., r PO Boz h'o.------ ----- ----�---� r� Streetantl Apt.No., P08oz IVo.
Ln SooU N��bur--gew�l _J lv¢ W A "' -81 t �� rlps-
Q' Ciig State,Zrp,-4 - - __ . ._ ____ IT Ciry,Slate,Z1P+4®
a�+„�e NT 0P,zo3 r-,AdCAI , tjG zg356
M
ru EU
nj
EU
ru Clammed Mail Fee I rL, Gratiftel Mail Fee
LIT F, I Ln $
Extra SerViCeS-&FSeS(check box,add fee ,eppuppriare) 0 Extra 3eNiCe$&Fae$(chscurbay,add fee adapanpripte)
1:3 D ANdre Rdade,(hadic.11) $ I M El Return Receipt(hcdc.,,) $
0 Rubric Rl(droran[N $ Postmark C]Return RA,Alpt EadatrdriA $ Postmark
C3 []Certified pact Restricted Del very Here E]Carried Met Radrated Dawduy $ Here
�17 ❑rij Adult St'ruedre Required Adult Signature Required $
A-) Adult idgrature ReArlated Dallvae, ru Adult Signature Restricted adivm a
Postage An Postage
19 Total Postage,and Fees r-1 Idled Postage and Fees
171
EC31 $ $
oa ffim
Sent To
Er Sent To cj-N-,,� -j La,V\6-D I � Ja----------------------- ---------------------- --------------------P---- -----------
.0 ��TI --------------- rr and Apt No or POBox o .0 SfiraIitand Apt,No.,or PO Re Me
LE) " 66S I P, U-) I CXerjo
gr, Cko --------- - ----- ----------------- '�'Z-----------K-1--b---------- ---------------------
State,ZUAc4- Er State,ZAP-.4-
L-i It,kv, N) -7- 35 6 (-TAO C-Y\ 7,8 56
CO
An
FU I'Ll
:J- lt;
RI "ll'i 1 7�
ru
ni Centificel Mail Fee
ru Certified print Fee
C3 Extra Sere Ces&—Fees(chackbox,add fee Inappropriate) C3 Extra 8eraircas&Fees(dhedkbdo,acedfacanapprepriate)
1-3 []Return Receipt(hael $ C3 El Return Receipt peddlers) $
Return Receipt(electron c) $
Postmark El Return RodeN ernetreod) $ Postmark
❑CAnnAi Mal Rd,drAAd Cialietay $ Here Ell []Coll rd Mall Reatneted Dele,ny $ Here
ru
El Adult SignatureSignatureru Required $ E]Adult Ml R.,irld $
E]Adult Signature indurated Delrcdry$ [I Adert Structure Restricted Orlw,,,$
Postage LE1 Postage
C3 $ C3 $
I"q Food Postage and Fee.
r9 Total Postage and Fees
0 $ 1
Save To on 0
PE) -0Streetand Apt.No.,or PO Hox No.
U1 P08nx ((03 ------------- ------------------ Lr) L
Or ------ ------------------ ----...... rr Clfy,State, I- --------- - -------- ------K--------------------
737 C, -Z,%33`1 I A, OA NC, -C(
a
i s
it 1:12 �iii
ii: V
Er I r'-Ln
I
FU ELI
ru
ni
Ili Certified Mail Fee rU Certified Mail Fee
En $ E;
C3 Extra turn &Fee.(phrdk bu,add fee as dquanniad)
E3 El Return Radelpt(handcopy) C3 Ddl.Send ..—&Fees fahank be,,add led as depal—
4
El Rarcru Rdadjpt(clixtrood, I, D Return Receipt(Andcopy) a
0 Return Receipt Ielectionfle) $ Postmark
❑CArtiflod Mall Motrated Driver, Here 0 CAofAJ MAI FAA,Wed DAFe, $ Here
D Adult SignatureRA,Wedd []Ad�lt sprain.Hall $
E]Adult signature Restricted DolvArt It ru
Real Ln 0 Adult SIl Red,died[Allrer,st
Postage
C3 $
r-1 Total Plants.and Ease 'q tew—Ft'6;and—F,.,
17
C3
Sent To
111- [�Qn Or Sent To
------------- ----------- --------------------- -------------------------------- -------1-J--.............
,or-0 Street and Apt.No.,orP Box a c[] SrUeet�andArdt.No. PO Box ACV,----------------------------------------------------
Lr) 'Z o Novrl 'kp
C-It'y','S-ta-te-'Z-I---- --------- C '__ tia F--------------------------------------------
P,45 Or
F C, 7314 35 6
ad o rLI
E3
*a
ti
M M
U1
ru ru
ru Call Mail Fee, < ru Certified Mail Fee
IJI Lin $
M Extra SeNaces&Fees lchadkbt,x,dardsoasappapsould C3 Extra SeN[cal&Fees Phi add fed as Aettaril
C3 E]Mal Reaelpt ii-ordial S— C3 Ej Return Rol tkadopy) A
0 total I'll(dualikeld) a Pedal E]Rdum I'll(.1 ated.!) $ Postmark
El Cal M.11 Readataid Dafflany $ Here Cluftfloal Full Roodold Drill D Here
[I Adult Signature Rd,rfidad
ru Fj Adult Sittratuld ria,urad 5LrI 0 Adult m,datud,Rilial Dadvary ru [I Adult al Restricted Darlord
tall
Postage Postage
$ C3 $
r"q Toll passage and Fees "9 Total Postage and Fees
F' P-
C3 $ M $
Sent Ta Ir .................... Er Seat To
-0 ra .0 Sheet and Ap E-No., P-Z)-i N--------------- - ---- ----------------
U1 Lr) 2,Lc)4 13�piico Dr�
-------6--S ------------------- 'Zill -1 piece O -------- -------------
Ir tj& ZT356 F,. -d4aA(e, Nc
an
ni
'0 M
17- Ln
Ln
Flu
D
M-0 Call Mail Fee
Call Mall Fee, ru
-0 $ - i $
II Exced A—Sameds&Fees-CcIt,clic—bodadd foe As C3 ffwa—semc &Fe.st(chaekbe,,,,tierfsonappappoldist
El Rata,Readar(tdkwd $— C:3 [I Ratum Rattler(hardel $
t-q 0 Fil R.alpl Pal tt El Fall Real(dadrari4 A Postmark
1-3 0 Col out Rel,tidad Dollia,vit $ Here r3 0(Added Mail Fall Fall., a— Here
C3 Adult Signature Requirad a [j Adult Si,rdalaa saturant D
C3
❑Ad"]Sari Roaral tal$ rU 7]Adult Sidi Restresol Ddill$
C3 Postage Ln,Postage
M1 �$ C3 $
Ir Total Passage and Fees Ira Total Postage,and Fees
17,
C3 $
re, Sent
ru -',CYN 0-si- 3 e ry Er ---am A-S
-�r -- - -----�As�j-t- ----------------- Na.
-!�Jrd No,,ta-POB-No.C3 STA3o r -0
r, 'Ali ------------------------------------ Ill ADS----K ----------------------
13- City,State,ZIPWLI
Z% SG
�nj
ru M
r-q
-n
Ln
M
-0 Denifi ed Mail a.
M Call Mail Fee
-0 $
r-I Ete'd—Seni—(,hIlkb�,,add Ad lal;lnv�) Ri,tral Fal fbardati I—___
El Fleur-,Ral,d,t kAddNA) S-- ❑Ratem Redilk lelectrpnlq $ Postmark
re, ReturnRI,al,t skairaril,) Poll r3 El Crilidiflaul Mail Restri,lad DdIvA, $ He's
E:l odi Cfied Mail Rl larl Here C3 Adult Slgu000 Requirad $
M Adult Atli RA:a[Ad C3
ED ❑Adult Sigmtura SY i DrIlver,S
Adut So,ave Fill Delver,
C3 Postage
17M1 $ Er rum postage arc!F.ae
cr TOW Postage and Fees r-q
r-q $ r-q $ent 7o
to Sent To ni
ni C)
tok;al s ------------- ------------
C3 loNPsand apt,Na.,or PO Ste,No. 17- Street A x
17, --1'Y 1,ti----Z�;!Q la, ";n t ZIP+4
chy,Star.,ZfPi-4-
\t, Will-
.0 Ln
M1 on
_n -0
Ln Ln
A',
m Certified Ma Fee m O.d1h.d Mail Fa.
rl Extra 9�. r-q r-7 ou,—�., Fee—'(,ITTk—p.udd, as apprzpriate)
C]%Wrrl i,t(hnudid,,y) (hoi,,,r
I-q ❑Return Bidsi,t(dnd,uMu) a Postmark Ir'l ❑R.Wd R.c.I,t lu.stur.,k
E-'3 ❑G&dlfind Mail'restrided Ddivery $ Here M El ciltfli,l M l RaIllhdsn 1-111a, Here
1-1 E]Adult S,usan n,W,,d $ C:3 LI Adi SigMu.Rululdvl
Adult Slgrata,e flunflati,d Deivua a E3 OAddlt SignAlue Rettricad Di,live,$
C3 Postage Postage
rl- $ M1 $
Er TotaP Posudaqo and Foos Or 7ot.,6 Postage and Fans
rl
rq Sent To
Al( ru ru ------------
M Im aeet.i smeet
Jr, Mv
Is
m E]Return
tified KI]MI F.e �eMfi,,O 11a11 Fee
-0 $
lt,.udc,,) fttu Rscuptserj"") $
r-q RoWA Rea pl Postmark 'I ❑Rduro Rei,si,I(sIsai,urs a P08tnia,k
1=1 0 ceffltsd Mall Reamuled Ddiver, Hord Cuq-ffld Vall Rntll.tud Wide, a Here
M []Adult SlgnShrd Racui [jAdW,SP.t rd,dra,
r—I Fj Adult S,niltu,.Reiated Dillvd,a �3 11 Mat SinduW-ResIrfoed Ddil ry
Postage 3 Postage
Er Tbing Posraq.and F.or L T.-M Postage and F...
S
"jIAN
ru F/w�c CCC
6, &J"
na
IM
-----------------
Im A.
Ir
m EAU" �m I 4=wmw
rn
P, -R-
mCertified Ma Fee rv,
Certified—MnIFee
co m
r=1 [EXIMAre,ice &Feesavaropnaro) $
❑ s"a
ridum.gedelpt rrard�py) -q rE�F.-- a,,—o
L
d Pri"upt Plan-
�tra au�,_
MI.,Pe ad A
,rd,urd re.
rq 0 Retold Proust Plaaadurs a_ ❑ allfhard�.py) a
0 C-Hodd Mail Ristrilded DAN" al podnna� Orisroad,el't(duumu) $_— Postmark
Cl EjAdultegr�iuidFequlrod Here 1:3 Cnin'd mal RA,tdm�d Dawn,
s— Here
M AdWt Doflydr, []Adults r,d,al,ira Rdqdi�d
id
Postage E]Adult Siputo,Resurcad OejjuaR,
$
Er 'go
Total—pos,.gea�d goes $
0
Iq Ir T.Wal Postaq.and Feasr-I se,
r.q IS fTc�
ru On, ---- ----- ------- ----- ru
011�d IL
---- -- - - - ----
MIStr 0 m �toad.nd,A,2.,-a-r-P-0-B-ox-Nal
17 U,-011 600 LOO -----
Ciiy Cijgk.,S ate
Sta I --- ----------------- ---------
:;4 6 ----76ZU -----------
"T A
ru ®— ➢, B
.n ➢, - s
mm r,
m m
r, -- a r�
rr"I CertliledMali Free m Certified Mail Fee
E#re5slvices6he (h ekb add e25apgroFdaG) "' 6Rxa5 rvL.ea C,Fee—
s(I d,oldfloAlappIpAdd
❑Rl Tscuipl dardcopy) $ ❑flt_ Roca:p',Pardat,y) $
❑re+,au aaealr,l alecAduld $ Postmark ❑R1 RDaI,a(elededu) $ Posvnark
O ❑Cadtud Mal Restddad Dzllvay Het Ir3 ❑Cehfea Mid Reelyded Dallvery a Hare
0 ❑Adult Sienahra al $ ❑Adult Signatum R,,ull $
❑Adul(9fpneturn Resireted Dellvary$ - ?]Adult agucturR hied Dmlivei,
p Postage _ ..._v_ O Posiago _—
r� r M1 $
_
Cr` Tg4af Postage and Fees � "fotai S'os2a;pe and Pees • :
fr� t r s7 y �rU 7a p p � Leli > —_--
O _ 3oxNo
SaP d
V----------------
01 10111
m
➢, a
she LF)
m Certified ma Fee ry
� $ rrr Certiiled?Jail Foe
F-q E;dfaServicas6,Fees ehekboxaddfae as'app<opnate) CID $
❑Reiwn Re Spt @etdmPY) $ Pxira Services&Fees(Nrachbox,edtl/ axappagaate)
rq ❑Rm.i l (eledraud $ PoSimark ❑Return Recelpt(tle._.pP $ _
C73 ❑Cel*Ifed Mall Reidded Dal vary ? _ He. � ❑Return Racel't(elecironlc) $ _ Postmark
Q ❑Adult 3lgnate❑eger¢d $ [)(Aidt4d Mal Rastrdtd Derverp $ Hera
Adult agnaturo Rtstn ed Delivery a ❑Audi{ggnazure Requited S
0 Postage ❑Adult Signature R trictod Deilven,
r— d - p Posfago
tr Total G'osLag an4 Fees
1:17Total Pcskage and Pees
ru
ayrly,,^p a
® tr Apt No of PO604 No -..- rU .h'l SI-�J�'7 &,./E.'�"'1.�'Z Lt ' �(�
r- ---- % -- - d I� �Q sraeeandFlp�o �� vo
cr .ware zla+a ..-.>..>,.
i�9 nnZ
ru - m _
m m
IF, _ 'r
III ertfied Hall Fee M1 Certrfled Mall Fee
1"� EYba Services@Pea.,Mhmhbav dd/aeesappmpnare) - �
[,]Return Reelp:(baNce h3 $ — a Eu1'ra SarvlCos E,Fees(cYace box,dad tee As epProRnare]
r—1 ❑Return Receipt(electronlo) S Postmark ❑R° R Apt PraxicopN M
O ra ❑Rt Racolpt ialad on c) $.r ..:_._ Postmark
O ❑Cer46ad Mel Rstultied Dalvery $ Here C ❑Ce[fad Mail Restrded P'lil $___ Ham
❑Adult53naiure Regalmd $` C:3 Adult $
Adull5pnatuve Reetreted Delivery$ - O E) 'elatcre.Reeulretl❑ 1 Ad SleautureRcatrct=d Delivery a
r] Postage ',. E-3 Postage
rq $ �._ f q
Total PoaSa9s and Faes -- .: Q' $117
� Ta4aE Poskay<anse Foes -
}�} \�
p SrraeP and,apt L ar Oslo No �a�---4�%Ll��--- t......��J 4w V.`t
} r '', p S2ei antl Pnt.Nc or O oxN
�4..._.�`�r
',af° ZIP R"' _ -,>..,<..,...>.....>,.
a9 _ ae
O x. M1 ao s
O
m a m
frail Covif!¢d Mall fee — 6ertirsd Mall Fee J�
Iq 8 a—
r'( E)dr29 Rda L.('9e5(h YU tlHlaa e3bpY/'P ata)> l ESenlose&Fa s(h b x,adtl! as poNRdYeJ
❑Re9uIb rn Rece pf(haNcop/) 9 0[�M A Fl of l(noMcopp $
ra ❑Retun Reeela(eleadOlc) $ __ pleinadc rI ❑Rr t Ipt(olertranlc) $ posimaric
M CotlRed Mall Floadcted Dalv'ry 9_ Here d ❑C�9'rted MM)FlscVctotl Mall, A Her,
M ❑Adul¢tagnabao Required $ 1-3 ❑Aduli M,atur..Reyuired $
13 0 Adult 81,aium Reatrratad Dahl.$ E:3 ❑Adult9lgnatun Ra,,l&ted Delivery$
O Postage O Postage
0" T b aE Postage and Fees C7 Total Postage and Fees � ..
� �� Id�d t'1t�-E"G2>18i1�t12tfif �-ant .' rru S46u p!< 17��� E7 f�---�LYC1�C�1ae �Zl ut?E7
® ,veer ana Rp¢ No rPJ Hox No a 1 p meet�ndA Apr No ar 0 eat o
+ �a , + _ _._ . �e
t�S tie GP Statezr Llt �-
CO ru
atr
ru
glull
r� Gertrtied Wait
r'ae �I mG rtifisd Mall Fee
aEtra aIlces&Fe¢s(h k boa atld lee es apdroptlata) rl $#ra Servics C Fe. (mi,,naiA wide,as a,Aprtme) -E
❑RNmR Iptp rd PYt $ I ❑P6Lm ReceptN d p) e
❑Reran Reoalpt(olsctrcnc) $__. '— PeMml r9 ❑Fletum Reca pt(eloet�ic) 9 -_�_ postmarlr
C3 ❑Cenitlod Mel Ractfladd Dellvap $_,..,_. Here C ❑Ce-ifad Mall ReArlcted Dellveq $_ Here
)] ❑Aduit Slgnetum Requlred £ 0 ❑Ad'It Slg etm9 R,O-Ad $
C-3 ❑Adult Sguaild RauelcHal Ddvery$ ® ❑Atli[Sgnature Redilded Deflary$a _
Foawge O Postage
O
per- Total Pastra4e and Fees � — _. p- r.b.9 Pestage and Fees
� I
ra went `l 7 ( � / q � S p/� � �3 g ,
I�iIV �.}-St\V!T ?.. N .e�C k �� J ___ _SaAY) aL/ -----
S`rge:andn `o\rP08ox NoA $bcetand Apt or PSox No.1-3
( �r-g
ZlPt4"
-5�Y �