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Z-3722-A Application
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PENALTY FOR PRIVATE USE. M RETURN #r k,5 614 (Name of Sender} (Straef or P.G. Box) Fji _ VC cr c A k )1 c ! {City, State, and ZIP Code] P 292 465 032 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL (NAIL (See Reverse) SENTTO 1-DaVict Swllen6Le+ ' �1 STRREETANR O.- I 0 1 , C �}�� c)(1 vr— P.O., STATE ANC1 I P COQ L, 'I T f- (—t- 7 � POSTAGE $ Z �' CERTIFIED FEE �s A v n SPECIAL DELIVERY 1 T OPTIONAL SERVICES RESTRICTED DELIVERY T 0 m o SHOW TO WHOM AND O m (� W o DATE DELIVERED m f w h SHOW TO WHOM. DATE. m„ r m m "' D AND ADDRESS OF Vlx so S vo`n w DELIVERY �r•;,r; �;•}7 [rn D < o C) SHOW TO WHOM AND DATE D �z vv(n rm-�o mDcn roo DELIVERED WITH RESTRICTED m z o s DELIVERY D CD m m� v� TO WHOM, DATE AND O r ..yT- ff«l sSHOW ADDRESS OF DELIVERY WITH T 9190 r0 m0 RESTRICTED DELIVERY mm TOTAL POSTAGE ANDFEIF,S._ $I POSTMARK OR i7 41 E < `} �• W, 1+'nrm 3X(M) _ Ani_ 19/b PS Form 3800, Apr. 1976 o CONSULT POSTMASTER FOR a FEES n m o a T ,- �' G a A v n $� 1 T OPTIONAL SERVICES mp o m m m o -q O m (� D z Q RETURN RECEIPT SERVICE m w moi; F y U) m„ r m m "' D D Vlx so aDm vo`n m0vi vin �r•;,r; �;•}7 [rn D < -I C) m D �z vv(n rm-�o mDcn roo v(n �o m noo �m� rCo mmv roo m0�m� do D D r m m m� v� C O N O r ..yT- ff«l m O mrv'i)o 9mo 9190 r0 m0 Ti mm mD D z < `} �• m < 90000 -mmv 0o "p Do m m m o mD O !1 V • a➢ tiv 2 D G < �o x tim av V �� < Tm �➢ ➢ N I YJ A A A A A A A w \ �;Ct A A A A A A A c a A A A A A A >J A A A A A A A PS Form 3800, Apr. 1976 p t` o r' a o _ n m � 9 0 0 m i A v � m PS Form 3800. Arm 1976 CONSULT POSTMASTER FOR FEES p t` o r' OPTIONAL SERVICES FEES n m � ( m f OPTIONAL SERVICES m i � a o M d o RETURN RECEIPT SERVICE m T " {r mp o m m m m (- Y m :. M— vmzi ns omI� O m v 7;1:1 !Ml O mmom RETURN RECEIPT SERVICE M --I r m m "' cn V Vlx so v < Z C O m [rn D < oG$} Cl m D G m vv(n rm-�o mDcn roo v(n �o m D -nn m J C mz v z v (N 2M U ,•. •• v� mcNi,� o a A A A A A A A M w EN w rn z 0 a Nzz ® N M'm- cZ.9 0 CM ZO >M v� r n � O D� M r® M $I p CONSULT POSTMASTER FOR o FEES .- a -o 7 OPTIONAL SERVICES m i � a o M d o RETURN RECEIPT m >--1 o o m es OPTIONAL SERVICES (- L z m :. M— vmzi ns n O m Z0 p q RETURN RECEIPT SERVICE M c r m m "' cn n m Cn O Pa9 � 1ti-.I Z C r m «� aao oG$} Cl . 0 . `? i aDtn inox vv(n rm-�o mDcn roo v(n �o O- m D -nn m J C mz v z v (N m� ao U ,•. •• I •G mcNi,� o �mo o� �90 � ro �� m O m r m m _� :u 7\ I ( (ppyy v Ti mm mD D z < < m < m < mz m m<.O{ mD O Q tiv 2 vm T— �o x tim av V �� < u-' N I YJ A A A A A A A w A A A A A A A c a A A A A A A >J r�ororms¢wv,Apr. iyin o CONSULT POSTMASTER FOR CONSULT POSTMASTER FOR FEES FEES o $ .- a — E� z OPTIONAL SERVICES v D i � a o M d o RETURN RECEIPT m m rn v D RETURN RECEIPT SERVICE D T m (- L z d { :. M— vmzi ns n O ao� Z0 v '0 z rm-zoo 1 9 m� 0 r m m "' m O VNO d Cn O Pa9 � 1ti-.I Ivo ro �= G 4z m o r m «� aao oG$} Cl '+G ao f mm < D < 0 O- m `4-.y Q J C mz v z m� ao v m m < < A M V p y O D vo �� o� C m _� :u aZ v R mm mD D z < < mz m W I i Q tiv 2 vm T— �o x tim V �� u-' N I YJ A A A A A A A w PS Form 3800, Apr. 1976 rn �.•y 0 5�:- ' m r:s CD (D Lylb CD y m c 7I 0 �® M M IN 0 o � %0 T� 4 ■_ In CD �m :X) M= - pp��� W ZC 0 (D �M. M m a m ®4 r�CD 331s M w rm c CONSULT POSTMASTER FOR FEES CONSULT POSTMASTER FOR o p a' OPTIONAL SERVICES m n r a i � a o M M RETURN RECEIPT SERVICE "' z c � %i �o C) m �y T m m RETURN RECEIPT SERVICE R ao� 05 rrp rm-zoo =- - -1mO DD 22 •� N m O d Cn O Pa9 � 1ti-.I - C `tel ) %:• r iy. �: •"�''� m «� aao m0� avo �a� Cl O m 0 ao {�� mo m 0 ' `4-.y opcL �o m� ao v m m < < A M moo rm` vo �� o� C m _� :u aZ v R mm mD D z < < mz m i Q tiv 2 vm �o x tim V y + w w A A A A A A A PS Form 3800. Am. 1976 r 0 M -N O 0 0 CCT) D M c N �32� C:) P, P CTi M M M 2 ' 3J -4 m iV c� 0 a Mme, cR = rn r= o ® G rip r CONSULT POSTMASTER FOR FEES p a' m M _ CD rn ^' i � a o M M m D �Ni "' z c � %i �o C) m L'9 o �a RETURN RECEIPT SERVICE R CD --j 05 rrp rm-zoo =- - M DD 22 •� N m O � Cn O Pa9 � 1ti-.I - C `tel ) %:• r iy. �: •"�''� I «� aao m0� avo �a� Cl O m 0 J m m mS rn ' `4-.y mmv tiv �o m* ao m < < M M M 2 ' 3J -4 m iV c� 0 a Mme, cR = rn r= o ® G rip r CONSULT POSTMASTER FOR FEES O a D m ,� , • *�,s,: n OPTIONAL SERVICES m D �Ni "' 1,-4 � m L'9 o � D RETURN RECEIPT SERVICE m m �noo rrp rm-zoo mo 'Ei DD 22 n D m O D z Q � z a - C `tel ) %:• r iy. �: •"�''� =„a,� v��`Lx «� aao m0� avo �a� :E mo O m 0 r O m m Nom C 'aC ' `4-.y mmv tiv �o m* ao m < < rl) • t' mmv aZ v z < < M Q tiv 2 vm V w v C M M M 2 ' 3J -4 m iV c� 0 a Mme, cR = rn r= o ® G rip r P 292 4635 034 RECEIPT FOR CERTIFIED AAT NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENTTO F e N . . iE STREET AND NO. 1..2gDO P.O., STATE AND ZIP CODE LV7�zil POSTAGE $ } CERTIFIED FEE SPECIAL DELIVERY w RESTRICTED DELIVERY s 0 W W SHOW WHOM AND DATE DELIVERED y SHOW TO WHOM, DATE, y w AND ADDRESS OF DELIVERY � W � o w SHOW TO WHOM AND DATE s DELIVERED WITH RESTRICTE ¢ o ¢ DELIVERY SHOW TO WHOM, DATE AND ADDRESS OF DELIVERY WITH RESTRICTED DELIVERY r TOTAL POSTAGE AND FEES $ CL POSTMARK ORD TE 00 E o PS Form 3800, Apr. 1976 c a CONSULT POSTMASTER FOR FEES FEES r OPTIONAL SERVICES © n D T' O RETURN y$ cin CSf J m z n� OPTIONAL SERVICES nLi~ N m a A y M T M0 m a , C71 Z 0 3 RETURN RECEIPT SERVICE -nm+o RETURN RECEIPT SERVICE m vcn D m� cn 0 M 0 z'�O o D c::: Em mm� <n� ni n m m A Z �, rn� As-� <mo Dom <yo o� ro -i mD 0 m m mo� HP mcno v�i xa� mo m O moi <mv l i}1 <:2E <� ..tl 0 r m 0 t m E G T l moo mm o z < m� ao 03 m E ❑j }�� ��.d�try✓ LJ i Trr■� M ovo m� _� o� o� v z < < m YCf V� � CZ- xxn mZ yv v n z v mz { n < !! IV -12 987 11 r z ti� �Z �. 0 �O A A '� N A A 1 A A A A A A A A PS Form 3800, Apr. 1976 ' 0 M ® S� m mM X zc 0 SV .2.{ M ca n r �p U 7 m nm c M rM CD o CONSULT POSTMASTER FOR FEES FEES FEES r OPTIONAL SERVICES m t;�x--" ` D T' O RETURN RECEIPT SERVICE 0 rri o v nLi~ N In .s'ti "' m a0 . Z a moo -nm+o RETURN RECEIPT SERVICE m vcn �a D 0 m z'�O o =m� c::: Em mm� <n� ni n m m A Z �, rn� As-� <mo Dom <yo o� ro -i mD 0 m m mo� o� mcno v�i xa� mo m O 0 G l i}1 ..tl CD <yo 0 vim m E < m M __ l moo mz o z < m� ao 03 m E r M ® ��.d�try✓ LJ i 0 m (� O " I•` a� v z < < YCf < ' 0 M ® S� m mM X zc 0 SV .2.{ M ca n r �p U 7 m nm c M rM CD CONSULT POSTMASTER FOR CONSULT POSTMASTER FOR FEES FEES 0 m `- � D T' O mm�r 0 � = o 0 rri o Im nLi~ m mcn In m ~ "' O D a0 . Z a ypp z3. RETURN RECEIPT SERVICE m vcn �a ®104 RETURN RECEIPT m z'�O o mo= mvi �n� Uzi ni m A A A A A A A ' 0 M ® S� m mM X zc 0 SV .2.{ M ca n r �p U 7 m nm c M rM CD PS Form 3800, Apr. 1976 o CONSULT POSTMASTER FOR FEES 0 r O cn? Q OPTIONAL SERVICES 9 n c r— O x$ o RETURN RECEIPT SERVICE -0 � r" �b m G Z - n= x 1 m m a D 4 p� a mn�n g vZ2 yo 9 O CV O � -ON �� M c9-i�'�'F . 900 00 0 m � (4 < -/ C/ ry� L ycno {'icy <9 p m n xi Jd C.) oT r{ vmii m= G < a aC, 6 d 0 m mCD Arr ¢y v v z 4? 9 o v tA Ci1 f i�l nC2 f�9 ' c rn A A A W A A A I CONSULT POSTMASTER FOR CONSULT POSTMASTER FOR FEES FEES 0 m `- M D T' O mm�r 0 y = o 0 rri Im nLi~ m mcn In m ~ "' O D a0 . Z a ypp z3. RETURN RECEIPT SERVICE m vcn �a ®104 RETURN RECEIPT m z'�O o mo= mvi �n� Uzi ni m ::4m T n Z f- 2 C7)a R' n r CD CD n-_ co 0 m Ul mo� o� xa� mo m O G l i}1 moo CD <yo 0 p M [y l • •� F �o �o �� m� ao 03 m E r M ® ��.d�try✓ LJ i 0 m (� O " I•` a� v z < < YCf < G <<m 9v PS Form 3800, Apr. 1976 o CONSULT POSTMASTER FOR FEES 0 r O cn? Q OPTIONAL SERVICES 9 n c r— O x$ o RETURN RECEIPT SERVICE -0 � r" �b m G Z - n= x 1 m m a D 4 p� a mn�n g vZ2 yo 9 O CV O � -ON �� M c9-i�'�'F . 900 00 0 m � (4 < -/ C/ ry� L ycno {'icy <9 p m n xi Jd C.) oT r{ vmii m= G < a aC, 6 d 0 m mCD Arr ¢y v v z 4? 9 o v tA Ci1 f i�l nC2 f�9 ' c rn A A A W A A A I CONSULT POSTMASTER FOR CONSULT POSTMASTER FOR FEES FEES 0 1 -0M `- -4 D y 0— co - a OPTIONAL SERVICES 3y OPTIONAL SERVICES C) m mcn In m ~ "' O D InrrI . Z a ypp m RETURN RECEIPT SERVICE m vcn �a O RETURN RECEIPT m z'�O o mo= mvi �n� Uzi ni m ::4m T n Z f- 2 ;i � Z� (+ N n r � �ox� 'vryr G mo� o� xa� mo m O G l i}1 moo <vv <yo 0 p M [y l • •� o00 r�� �o �o �� m� ao 03 m E < D 0 m (� O " I•` a� v z < < YCf < G <<m 9v n mz m n < { m 11 r ?� ti� �Z �. �O A A A A A A 1 A ` N s s� c C-1 74 - A A A A A A 15} ! PS Form 3800, Apr. 1976 M Mo N�2 M < 0, ®� CT) rn � 9 Mc I ` r PS Form 3800, Apr. 1976 M M �m 214 M CDN o� �M ae r M 4L+ CONSULT POSTMASTER FOR CONSULT POSTMASTER FOR FEES FEES 8 1 -0M m w F OPTIONAL SERVICES U) D - a r m 3y OPTIONAL SERVICES C) m mcn In RETURN RECEIPT SERVICE O D InrrI . Z a ypp D Di �a O RETURN RECEIPT a 'K fl vvm man o n0 m SERVICE 3 m m ::4m T m 2 ;i m` m ovo n r -n m 'vryr G xa� mo m O N ^}� om:E * 0 i M a m M� o T mx o fl G mz moi v n < { m T- ?� �. �O A A A A A A 1 A I ` r PS Form 3800, Apr. 1976 M M �m 214 M CDN o� �M ae r M 4L+ I M M oC � m zA C m �r = Sl O ar C 9 �M M �i CT D DM r� Mo rn IN I� CONSULT POSTMASTER FOR FEES 1 -0M w 0 ia r—o OPTIONAL SERVICES n InrrI . Qy' D Di �a O RETURN RECEIPT 'K SERVICE 3 m CO m ::4m T m 2 i m mx o fl G mz moi v n < { m T- ?� �. �O yT A A A A A A I M M oC � m zA C m �r = Sl O ar C 9 �M M �i CT D DM r� Mo rn IN I� P 612 632 719 RECEIPT FOR CERTIFIED MAIL NOINSURANCE COVERAGE NOT FOR INTERNATIONAL MAILED (See Reverse) SDoent to b.0 zfj� an '3 Street and 1� 1� 5 /gt U Z coW P.O.. State and ZIP Code o (,� uk R I 1L $ 2 cti Postage # Certified Fee CONSULT POSTMASTER FOR Special Delivery Fee o Restricted Delivery Fee OPTIONAL SERVICES Return Recelpt Showing to whom and Date Delivered N Return receipt showing to whom, ,00 m Date, and Address of Delivery A TOTAL Postage and Fees m LL m o o co Cd) PCstrnoTk pr Data •: � i '=. Co m m I T 9 LL��r m A, t .a I /.' L. aY� CD N RECEIPT SERVICE $1, 0 J YJ Vorm 3800. Apr. lY/b 4� 3 PC Fnrm 38nn_ Feb_ 1982 * U.S.G.P.O. 1964446.014 v o -^' CONSULT POSTMASTER FOR FEES CONSULT POSTMASTER FOR FEES o $�rn OPTIONAL SERVICES m T- {y' cpm a G. OPTIONAL SERVICES RECEIPT m n m p y Co m m I T '^ m m aY� CD N RECEIPT SERVICE mms omzs ns N RETURN m Cn once m D z� O roo 9os omi mzs as C/) +F. yDj n m O m� �' z m 0 "- m g cnoo yv,� v10 mro 9s� <mo r'oo ova <ao mo m� ro M O D r o m m m ��� T M m. 0o -o00 c m M �o �0 90 N c a o 9 { .. y _m3 i� oma v� f7df711 P 9 <<m do m o �o x - ' aay «m rno ➢ o � fn m p D r � I_ �' =o /� to/r, CJ�Ij V A A x A A A A yr C G v+ 1 A A � ii' A J a A A A C> A A A A 4� 3 PC Fnrm 38nn_ Feb_ 1982 * U.S.G.P.O. 1964446.014 v o -^' CONSULT POSTMASTER FOR FEES om wro m e o o C, D OPTIONAL SERVICES m v - cpm a G. RETURN RECEIPT SERVICE o: 3>7 R' h na a °-� m cn y Co m m I a y m m aY� CD N mos mms omzs ns � � n D � once m cnoo rro roo mo co Z> r m m c D m1-0 7I m N CD o 3 m� D < m m r o Omoo i <oo <Ci <Do Nx ro mx M O r <o ��� T M m. 0o ao mom m M < N a o 9 { szD «m cmilo 90In< „yS..iv ' 4✓ �• �: <<m do 'i o �o x tim m -LJ (+ i�� � fn m p D O � �' /� to/r, CJ�Ij V A A A A A A A 4� 3 PC Fnrm 38nn_ Feb_ 1982 * U.S.G.P.O. 1964446.014 v o -^' -1 O D om wro m e i;M m 9 m 0 D n. 0 m � v ron m v - cpm a m • R r' o W :3 a n o: 3>7 R' h na a °-� n m a D1 CD < FD a CD Co m � CDQ)Dm wro� A o RETURN RECEIPT SERVICE m 7 aY� CD N [D 0 .7\ CD ( (D 2�2 LLI a N oov1 once Q- N o CD O O m -. 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