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STR
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P. O., STATE, AND 'LIP CODE
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and date date, and where
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Shows to whom Shows to whore,
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❑ 0
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❑ 10¢ fee ❑ 35¢ fee
delivered
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500 fee
i
POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
i
RECEIPT FOR CERTIFIED MAIL -30¢
SENT TO
POSTMARK
OR DATE
POSTMARK
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.
OR DATE
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STRCET 6LND NO.
P. O., STATE, AND 'LIP CODE
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EXTRA SERVICES FOR ADDITIONAL FEES
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❑ 50¢ fee
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Shows to whom Shows to whom,
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❑ 0
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POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
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EXTRA SERVICES F ADOITiOHAL FEES
Return Receipt Deliver to
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anddato date, andwhoro
delivered dolivered ❑ 50¢ fee
❑ 100 fee ❑ 35¢ fee
POD Form 3800 NO NO
T RA E COVERAGE
VERA E F VI LSD~ (See other side)
Mar. 1966
RECEIPT FOR CERTIFIED MAIL -30¢
SENT TO ,�j +0 •, p �f.�°r !-{,e� �r� (
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OR DATE
SENT TO
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EXTRA SERVICES FOII AODITIOHAL
Return Receipt
FEES
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and data date, and where
Addressee Only
EXTRA SERVICES FUR ADOITIONAL FEES
delivered delivered
❑ 50¢ fee
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❑ 101' fee ❑ 35¢ fee
Shows to whom Shows to whom,
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POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
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SENT TO
POSTMARK
OR DATE
.
6
STRUT AO,
M.
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Return Receipt
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❑ 50¢ fee
❑ 10¢ fee ❑ 35¢ fee
i
;
POD Form 3800 NO INSURANCE COVERAGE PROVIDED—
(See other side) R
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
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RECEIPT FOR CERTIFIED MAIL -30¢
}
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OR DATE r
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1
and date data and whom ❑ 50¢ fee
deliverod
EXTRA SERVICES FOR A DITIONAL FEES
delivered
❑ 10¢ fee ❑ 35¢ fee
P,dQ.p, STATE, AND ZIP ODE ga}� �
7 -Rook-9 & 7f a
Return R.Wpt Deliver to
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POD Form 3800
NOT FOR INTERNATMAILIONAL AIL
and date date, Avid wham
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EXTRA SERVICES FOR ADDITIOWAL FEES
COVE
MAILED
POD Form 3800 NO INS
(See other side)
Receipt
Return Realpt
Shows to whom Showa to whom, Addressee Only
Mar. 1988 NOT FOR IE T� TONAL
Deliver to
RECEIPT FOR CERTIFIED MAIL -30¢
RECEIPT FOR CERTIFIED MAIL -30¢
RECEIPT FOR CERTIFIED MAIL -30¢ j
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STREET AND NO.
f
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EXTRA ERYICES FOR AD IT1014AL FEES
Return Receipt Deliver to
Shows to whom Showa to whom, Addressee Only
and date datdeliver dwhere
delivered ❑ 50¢ fee
❑ 10¢ fee ❑ 35¢ fee
POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
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1
and date data and whom ❑ 50¢ fee
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❑ 10¢ fee ❑ 35¢ fee
P,dQ.p, STATE, AND ZIP ODE ga}� �
7 -Rook-9 & 7f a
P ., STATE, AND ZIP CODE
,
POD Form 3800
NOT FOR INTERNATMAILIONAL AIL
EXTRA SERVICES FOR AD ITIONAL FEES
i
Return Receipt
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EXTRA SERVICES FOR ADDITIOWAL FEES
"
Receipt
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Return Reeelpt
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•
and date J .. And where ❑50¢ fee
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❑
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Mar. 1966 NOT FOR INTERNATIONAL MAIL
E-110¢ fee El 350 fee
$0¢ fee
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POD Farm 3800 NO INSURANCE COVERAGE PROVIDED—
(See other side)
Mar. 1986 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢ j
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SENT T
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STREET AND NO.
f
P 0. STATE, AND ZIP C '
EXTRA ERYICES FOR AD IT1014AL FEES
Return Receipt Deliver to
Shows to whom Showa to whom, Addressee Only
and date datdeliver dwhere
delivered ❑ 50¢ fee
❑ 10¢ fee ❑ 35¢ fee
POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
SENT T Q t'
ti POSTMARK
OR DATE
POSTMARK
00
W
STREET AND NO.
y�
co
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OR DATE '
CY
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Return Re•elpt Addressee Only
Shows to whom Shaws to whom,
1
and date data and whom ❑ 50¢ fee
deliverod
1
delivered
❑ 10¢ fee ❑ 35¢ fee
P,dQ.p, STATE, AND ZIP ODE ga}� �
7 -Rook-9 & 7f a
!!!E t
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POD Form 3800
NOT FOR INTERNATMAILIONAL AIL
EXTRA SERVICES FOR AD ITIONAL FEES
i
Return Receipt
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Receipt
Return Realpt
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and date date, and where
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EI 500 fee
•
and date J .. And where ❑50¢ fee
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❑ 10¢ fee ❑ 350 fee
ti
❑ 10� fee ❑ 350. fee
O
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POD Form 3800 NO INSURANCE COVERAGE PROVIDED—
(See other side) ;
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Mar. 1966 NOT FOR INTERNATIONAL MAIL
Mar. 1966
RECEIPT FOR CERTIFIED MAIL -30¢ j
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SENT T
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STREET AND NO.
f
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EXTRA ERYICES FOR AD IT1014AL FEES
Return Receipt Deliver to
Shows to whom Showa to whom, Addressee Only
and date datdeliver dwhere
delivered ❑ 50¢ fee
❑ 10¢ fee ❑ 35¢ fee
POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
RECEIPT FOR CERTIFIED MAIL -30¢
POSTMARK
SENT TO /
OR DATE
POSTMARK
ST EET ANDH
J i4�'4v
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OR DATE '
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00
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Shows to whom Shaws to whom,
1
and date data and whom ❑ 50¢ fee
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P,dQ.p, STATE, AND ZIP ODE ga}� �
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POD Form 3800
NOT FOR INTERNATMAILIONAL AIL
.3'
Mar. 1966
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Receipt
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•
and date J .. And where ❑50¢ fee
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ti
❑ 10� fee ❑ 350. fee
O
POD Form 3800 NO INSURANCE COVERAGE PROVIDED—
NOT FOR INTERNATIONAL MAIL
(See other side)
Mar. 1966
RECEIPT FOR CERTIFIED MAIL -30¢ j
�J POSTMARK
SENT T
�� ATE ;
STREET AND NO.
f
P 0. STATE, AND ZIP C '
EXTRA ERYICES FOR AD IT1014AL FEES
Return Receipt Deliver to
Shows to whom Showa to whom, Addressee Only
and date datdeliver dwhere
delivered ❑ 50¢ fee
❑ 10¢ fee ❑ 35¢ fee
POD Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Mar. 1966 NOT FOR INTERNATIONAL MAIL
RECEIPT FOR CERTIFIED MAIL -30¢
A
POSTMARK
SENT TO /
OR DATE
ST EET ANDH
J i4�'4v
P, O„ STATE, AND ZIP CODE
01
EXTRA SEIiYICES OR AODITIONAL F€€SDeliver to
Return Re•elpt Addressee Only
Shows to whom Shaws to whom,
1
and date data and whom ❑ 50¢ fee
deliverod
1
delivered
❑ 10¢ fee ❑ 35¢ fee
ACE COVERGE PROVIDED—
NO 'NSURNA
(See other side)
I
POD Form 3800
NOT FOR INTERNATMAILIONAL AIL
Mar. 1966
No. 416974
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