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Z-03276-A application
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(a C (n n rt a ° H b �• (D W o � rt <yi c rt w o N• I b ° � r w (D " G t� • rG-+ rt ], tli rt 9b o rt rt G N d Al ((DD n rrr n•b w Id tj d r r rt 0 0 (D H c) �-+ p' rt H O (D oo (D w r• r• H G a m z m o 0n E C n m o H. rt w0 H. CA F -AN N CL •-• C r• r• m w Ui O N a' O n O N n r -n r• o M a. w N C� rn p r•• r n'd• t�J Dr'• °' m r• 0 ti c w r• a rt u, w r• � }d r -h w 9C rn O Cl) rt rt H,0 , r• a n F- O � OrQ (D n � � rn O r• m rt m d (n ►i rt w m a m rt w rn p. m • d r�--z w rt Ul F nfD o 7d o' r+ o F_ F x' m a � G 9 • n w V N N SENDER: ;; SENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the :2 . Complete items 1 and/or 2 for additional services I also wish to receive the 10 • Complete items 3, and 4a & b. following services (for an extra N rn 4 Complete items 3, and 4a & b. following services (for an extra y• Print your name and'address on the reverse of this form so that we can I feel: .2 y • Print your name and address on the reverse of this form so that we can fee): tv return this card to you. y return this Card to you. > • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address > • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address does not permit. • does not permit. m • Write "Return Receipt Requested" on the mailpiece below the article number. a d • Write" Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Deliver t 2. El Restricted Delivery t Y « • The Return Receipt will show to whom the article was delivered and the date O ++ • The Return Receipt will show to whom the article was delivered and the date C delivered. Consult postmaster for fee. y C delivered. Consult postmaster for fee. 9 3. Article Addressed to: 4a. Article Number 3. Article Addressed to: 4a. Article Number 2 lo E !I /- j r A-, �! 4b Service Type _CL "1 8 4b. Service Type O _1J Registered ❑ Insured op p c b� D p7i��i.. �t WRegistered ❑ Insured NL CJG: 7 I R T' (� ]� " ❑Certified •SOD � N Q �r �r"? ' Ck ❑ Certified ❑ COD LU ❑ Exgre Ria rn Receipt eipt for ° N ❑ Express Mail XReturn Receipt for IJ a AA AV /P MArr-hnnrllcra store OFWN 1,2211J 7. Dat ellvar. 7. Date of elivev a' c ❑ �� � atur dr see) 8. Adde see'sAd fee is cc 5- i stilt�AdPrsee) 8. Ad a res y if requested Y N J and e , •-$��� � and paid► 6 i nati ira (Anal CC rr Si IA ent) 77 O O HPS Form 3811, December 1991 * U.S.G.P.O.: 1992-307-530 DOMESTIC RETURN RECEIPT y PS Form m SENDER: I also wish to receive the T7 • Complete items 1 and/or 2 for additional services. W • Complete items 3, and 4a & b. following services (for an extra v y• Print your name and -address am the reverse of this form so that we can fee): > � return this card to you. Y of N > • Attach this form to the front of the mailpiece, or on the back if space 1. El Address 2 does not permit. p m • Write "Return Receipt Requested" on the mailpiece below the article number. 2, ❑ Restricted Delivery y +L+ • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. C deliverad. ° 3. Article Addressed to: 4a. Icle Number a 'e, L- 4b. Service Type pC E rEl [I insured .3 %d/�e+� Q1 �y /L Certified COD E N J rn eturn Receipt for ❑ Express Mail W Merchandise ;2�Ap D %,Z // 7. Dae of Delivery '~ o t oZc 5. 5igntur EAg drasseel 8. Addressee's Address (Only if requested t and fee is paid) Wer t � 6. Sig ture ent) 3 nnefCCTlr OCTI MU RFrFIPT (Only if requested December 1991 is U.S.G.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT ^' SENDER: I also wish to receive the • Complete items 1 and/or 2 for additional services. , rn • Complete items 3, and 4a & b. following services (for an extra y • Print your name and •address. on.the reverse of this form se that we'can fee): return this card•.w you. � • Attach this form to the front -of the mailpiece, or on the back if space 1. ❑ Addressee's Address m does not permit. _ Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery ++ • The Return Receipt will show to whom the article was delivered and the date CO delivered. 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E 00 rt m H m r•"am rt �L'�fr•F�H rt rr, IH+ , a rohN Ui�En rrt mawaGQ zC z G rt • G rt N • 0 L-1 vw .• r_h (n Nn n N rrt El n iw— a rt rt H.rt m O rt ::r H- (D n O rt m rn r • m rt CD O m m� rt N\" rt rt 7' n m 0 ((D Pao4 art P.. rt H. rt (D O rt w n r°h p 0 d 7d 0..' rt, o '� T O rt h (D- w w r• 7d G'4 rhr•rnn n G rt p Fh O H rr 4" W w G - rt QQ r G m w N o n G:fC) G EHFl- m O rt m oy G rt n cn w G rt rt b N rt W GQ N n H W � rr x Cj rt Ln ro O on WO Ort w r• O'a rh ra - rh cn oo F- G o C rG+ u~i r i -h (D (o (D � o H. n rt (D rtrng��orn� rt� 0 x V) �• v (D o m rtwx G roi,rt rt rha'arnx(D F.I. G' m m m r• cn ro m G F+ V rt m m m UQ m H n G E G C m G' G rt rn rt n o r\r m w (IQ m n pd• C H. w CL r_ r• G m rt 0 rt w o' (n m G n O w N 0 m W z G•(Dzarn(D rLH-N rt rt G 00 0' E a' w QQ \.o m (D rn 'o w w n rt:� o rt E 0 a, ro o r. r • '3 V �-h �3(D rh m w rn r• O "d GQ m r- m m rn rt W G G O N G n:� G rt 03 o rt rt N H. rt n ]' w n w n w G (D C m w r• r• O n I -h � " in rt z H z O a(D m d m G S n� G o GGa o a o Qm4 w rt ' wC rt o m � rt In rt In 0 p• rrt m 0o I -h -h W m rn F -h a m r•HtIi0 (D ENEn 0� G H. w m a. rt (D - O n x O QQ 0 in m cn 00 G G o H n m rt O,QQ w rt U, r G :9. r O r+ m cn �4 rh rt cn G �' G (D cmn rt H m r• m m rt m m Ln o x rt G G td tlJ • w w rt 4-- r -h G' (D n m p. a w 5 � ° t --h Ln p• o G t-4 cn n H. m cn w O G H QQ O w x,' G rt cn G H. H rt H. �:r G E n b w rt G H CD 0 Ln inrt rt rt ti � rt ~ wI(D (n G 0 rt m� W LT m rt( G �- Qq m m rt 0 rt O�� NIw-' --h£ m�m o w Grh 0 � � cn O (n O rt rrt w m n - QQ w n 0 00 N G' H- 11 m m oo r• w G rn m n m rt rt cn rh r a ((DD � m Ej cn -h rt 0 m m r a m r• rt w m° rGt rt (n rt r• rt G o F- rt�� rt G w �' m "I O m O rt ON rt m G n G' n t-4rot70 H. • o m rt rt O 0 � (D G' (D PdPd o w E • � C 9 00 r• n � 'd r-hO CL t-' ro O m ff,m H- P) H- m m rt n Ci rt w n rt rt rt w n N• r• m O °t,V a(D(D .dam v' (D n a 0 n GQ m n m n H. rnrort QGQ �3, ,. o cn rt £ x x --G' m H.H C) n o C rh m td G m zomcrtt�i rt O r•'� rt rt r• 9 (D x H (D O rt rGn Z ( w rt c En� (n rt (D o rt - co O N rt O rt r• to p' G m G C) m rt 'd rt rn n E w mr m m m rt m m rn rt rttrirtr•n rt ai n G rt o rt o rt N n O In m H F -h m o n '-C t -r ro n. H- • m rt O rt O n H • N m m ,d o E 0 5C • rn C a 00 r n cn V N N In > rt ro ro w m r o (u (D rt G rt (n (T cn rt O rt rtrt m rt (D (D 0 td m w rn w cn m o P' o X rt x' w F- � o is �D3 O 0 4-- �-h > 'd rt ri G rt • c� n r• n G' rt rt � G O 'd m N O N O' a N b N I- F O m rt, n rt rt m W tai rt a r - ul O 0 m n cn r• m 'o w w n rt:� o rt E 0 a, ro o r. r • '3 V �-h �3(D rh m w rn r• O "d GQ m r- m m rn rt W G G O N G n:� G rt 03 o rt rt N H. rt n ]' w n w n w G (D C m w r• r• O n I -h � " in rt z H z O a(D m d m G S n� G o GGa o a o Qm4 w rt ' wC rt o m � rt In rt In 0 p• rrt m 0o I -h -h W m rn F -h a m r•HtIi0 (D ENEn 0� G H. w m a. rt (D - O n x O QQ 0 in m cn 00 G G o H n m rt O,QQ w rt U, r G :9. r O r+ m cn �4 rh rt cn G �' G (D cmn rt H m r• m m rt m m Ln o x rt G G td tlJ • w w rt 4-- r -h G' (D n m p. a w 5 � ° t --h Ln p• o G t-4 cn n H. m cn w O G H QQ O w x,' G rt cn G H. H rt H. �:r G E n b w rt G H CD 0 Ln inrt rt rt ti � rt ~ wI(D (n G 0 rt m� W LT m rt( G �- Qq m m rt 0 rt O�� NIw-' --h£ m�m o w Grh 0 � � cn O (n O rt rrt w m n - QQ w n 0 00 N G' H- 11 m m oo r• w G rn m n m rt rt cn rh r a ((DD � m Ej cn -h rt 0 m m r a m r• rt w m° rGt rt (n rt r• rt G o F- rt�� rt G w �' m "I O m O rt ON rt m G n G' n t-4rot70 H. • o m rt rt O 0 � (D G' (D PdPd o w E • � C 9 00 r• n � 'd r-hO CL t-' ro O m ff,m H- P) H- m m rt n Ci rt w n rt rt rt w n N• r• m O °t,V a(D(D .dam v' (D n a 0 n GQ m n m n H. rnrort QGQ �3, ,. o cn rt £ x x --G' m H.H C) n o C rh m td G m zomcrtt�i rt O r•'� rt rt r• 9 (D x H (D O rt rGn Z ( w rt c En� (n rt (D o rt - co O N rt O rt r• to p' G m G C) m rt 'd rt rn n E w mr m m m rt m m rn rt rttrirtr•n rt ai n G rt o rt o rt N n O In m H F -h m o n '-C t -r ro n. 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