20190140 Ver 1_Certified Mail - 2_20190131

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U.S. Postal �Se.r�iceT"
CERTI�IED MA{L� REGEIPT
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■ Complete iiems 1, 2, and 3.
■ Pr9n# your name and address on the reverse
so #hat we can return the card to you.
■ Attacf� this card to the back of the mailpiece,
or on the front if space permits.
1. Asticle Addressed to:
� i ��� ��-C������=� '�C.
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41l{I1ti�4 Illl 1111111 I�III 1I I I�i 1NII I I�1111 ll4
9590 9402 3677 7335 1954 20
2. Article Number Crransfer frnm «ry�r.a lahai�
�n�,a n��� ❑n�� ����
A.
$!Rec ved by {Printea rva el ��
,%'#�� t'���> ���C- i .
D. fs delivery address different €mm item 1?
If YES, enter deiivery address below: r
�l Agent
❑ Addre
3. Service Typg R Pnariry Mail �xRressc�
❑ Adult Sign�ture 0 Rec�isiered Mai1TM
p pd�Signature Restricted Delivery 0 Registered Mail Restricted
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[fl.2�rtified Mail� urn Receipt ior
❑ Certiiied Mail Flestricted DBlivery Mercharidise
❑ Collect on Oellvery p S�gnature ConfirmatSon'TM'
p Callect on Delivery Aestricted Delivery � Signature Conf�rmation
�I Restr�cted Defivery
�j ].i � ]i il Restrtcted R0livery
Domestic Return Receipt �