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Z-4524-C Application
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(D (D OQ (D R'• I-h rt CD • rt O (D (D R' rt �D (n OQ (D (n FS - - -i N rt .= N�'k, Fw+. N. D' H• O N{ (D � rtm rn- (o (D a Z ww t�irn� a •- G C - - - F w rV n - F+ ,,4 A r r� a r d cn n Pd F-i Fd H H z z mr m CD N O :� (C) 1 v r��la.& + O 0 7c � A Itt 0 c a • Complete items 1 and/or 2 for additional services. • Complate items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can return this card to you. • Attach this form to the front of the mailpiece, or on the back if space does not permit. I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address • Write "Return Receipt Requested" on the mailpiece below the article number. 2 ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person dolivere to and the date of delivery- Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number P 881 973 582 FIRST COMMERCIAL TRUST MR LEON HELMES TRUSTEE — NICKELSON/KOCHTITZKY PO BOX 1471 LITTLE ROCK AR 72203 5. 6. • Completes items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can retylrq this card to you. • Attach this lorry to the front of the mailpioce,.or on the back if space does not permit. I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address • Write "Return Receipt Requested" on the mailpiece below the article number, 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person detivere to and the date of delivery. I Consult postmaster for fee. 3. Article Addressed to: 4a. lcle Numb r 4b. Service Type ❑ Registered ❑ Insured Certified ❑ COD ❑ Express Mail eturn Receipt for erchandise 7. Dateof Delivery $. Addressee's Address (Only if requested 5. and fee is paid) PS Form 3811, November 1990 *U.S.GPO: 1991-287.066 DOMESTIC RETURN RECEIPT SENDER: I also wish to receive the • Complete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. following services (for an extra • Print your name and address on the reverse of this form so that we can fee): return this card to you. i • Attach this form to the front of the mailpiece, or on the back iT apace 1. [1Addressee's Address dces not permit. • Write "Return Receipt Requested" onthe mailpiece below the article number. 2. El Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivers to and the date of dstiverv. Consult p65tmaSt@r for fee. 3. Article Addressed /to: / 10, fir- 5. Signature (Addressee) 6. Signature (Agent) 4a. A cis Mbar 4b. Service Type ❑ Registered ❑ Insured [_'5-tertified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise 7. Date of Delivery B. Addressee's Address Wnly It requestea and fee is paid) PS Form 3811, November 1990 *U.S. GPO: 1991-287.066 DOMESTIC RETURN RECEIPT �f"i7rlc5 A—, 0'� f/ 6. Signature (Agent) PS Form 4b. Service Type ❑ Registered ❑ Insured 5,Zertified �. El COD El Express Mail ❑ Return Receipt for Merchandise 7. Date of Delivery If L4 _:;),(0 S. Addressee's Address (Only if requested and fee is paid) , November 1990 U.S. GPO: 1991-287-066 DOMESTIC RETURN RECEIPT SENDER: I also wish to receive the • Cemptete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. following services (for an extra • Print your name and address on the reverse of this form so that we can fee): return this card to you. • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address does not Per(oit. • Write "Return Receipt Requested" on the mailplece below the article number. 2. ElRestricted Delivery • The Return Receipt Fee will provide you the signature of the person delivers and tha rsata nt dnliverv- Consult postmaster for fee. 3. Article Addressed to: JAPES A COYNE & LIDA S ROUTE-1 BOX 8B MOUNT'�VERNON AR 72211 �n 6. Signature (Agent) 4a. Article Number P881 973 585 4b. Service Type © Registered ❑ Insured Certified ❑ COD ❑ Express Mail < Return Receipt for -Merchandise 7. Date of Delivery Var ?? B. 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