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U.S. Postal Service"
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.usps.com®.
tL OFFa
a Certified Mall Fee
rR $
Extra Services & Fees (chebox, add fee as appropriate)
❑Return Receipt (barticopy)ck $
p ❑ Return Receipt (electronlo) $
Q ❑ Certlfletl Mall Restricted Delivery $
O ❑Aclult Signature Required $
❑Adult Signature Restricted Delivery $
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Lee Simaan
PO Box 549
Summerfield, NC 27358-0549
PS Form 3000, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions