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RECEIPT FOR CERTIFIED MAIL -30e (plus postage)
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POSTMARK
OR DATE
STREET AND NO. i
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TATE AND ZIP C DE r
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1. Shows to whom and da do.,.......,
RETURN WHIT delivery to ad ressee only ............ 53@
RECEIPT to date and where delivered 35#
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2. Shows whom, ,.
SERVICES With delivery to addressee only .... 950
DELIVER TO ADDRESSEE ONLY ..................... ............... Out
SPECIAL DELIVERY (extra fee requi roil ........................... ...
PS Form NO INSURANCE COVERAGE PRUVIUEU— (See other side)
Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL {, GPO : 1974 O - 551-454
RECEIPT FOR CERTIFIED MAIL -300. (plus postage)
SENT TO I J PMARK Oft TDATE
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{ST EET AND N0.
P.O., ST TE AND ZIP CODE
OPT1D AL SERVICES FORADIVfTIONAL FEES
RETURN 1. Shawls to w�iaon and e
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RECEIPT With delivery to addressee only dat.......-..,.
2. ows to whom, Late and where dollvered .. 35#
SERVICES With drllVory to addressee only 84
DELIVER TO ADDRESSEE ONLY ...................................................... SDd
S 7telW oELIVERY (extra fee require;4.......................... . .
PS Form NO INSURANCE COVERAGE PROVIDED— (See other side)
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RECEIPT FOR CERTIFIED MAIL--30� (plus postage)
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—LWI.� fy p _ , i OR DATE
STREET AND N0, �'L (��@•{� �✓
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RECEIPT With delivery to addressee only .......... G5¢
2. Shows to whom, date and where drfivend .. 35#
SERVICES With delivery to addresses only ........,.., 85#
DELIVER TO ADDRESSEE ONLY ......... :....... ..................
S ................... SOti
SPECIAL DELIVERY (extra fee re ulredj.................................
PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Apr. 1971 NOT FOR INTERNATIONAL MAIL p GPO : 1974 0 - 551-454
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With delivery to addressee only $
RECEIPT 2, Shows to whole, date and where delivered „ 354
SERVICES With delivery to addressee only . 85d
DELIVER TO—ADDRESSEE .............................
SPECIAL DELIVERY (extra fee requi ......... ,
PS Farm 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
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RECEIPT FOR CERTIFIED MAIL -300 (plus postage)
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^3TRFFT AND NO. O ".. d
r- a r M. 3800
Apr. 1971
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UNITED STATES POSTAL SER FcrR 9¢ _
OFFICIAL BUSINESS s 1976,1+7�PENAL1Y FOR PRI
'41}I""`E"'�},
R15T TO AVOM PAYMEN&_
SENDER INSTRUCTIONS OF POSTAGE. $300. "
Print your name, address, and ZIP Code in the space below.
• Complete items 1 and 2 on reverse side. -
-- • Moisten gummed ends and attach to back of article.
RETURN
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PS Form 3811, Nov. 1973
RETURN RECEIPT, REGISTERED INSURED AND CERTIFIED MAIL