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Z-5710-A Application
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T o COD a ,+o Q -o o �CD CL ro o CD 0 14. 0 o O CD o CD CDC 'CD cr �4 CD Ct74 CD CL' o CD C� c� x CD o CD o O CD I O N CD O b cr �s CD XWMK Z� AW N rgd, r�dr �g� �1Wr1ZL tto -, '" r !� goo r d n Y o .kt 1. f r � �: r� t� _L .w ::f_ i •- �... ... C _ � Y �, O C �� . IL. 0 _wa mm> c:, 0 o m cC O az 1 is � CD' m Cy CD CD O CD h CL 0 s� c:, O C> r f' � CD' CD O CD h CL N O CD CD CD o x �c O I CD o o. ¢- n n LD. rA 0 N O UQ n CD O CD CD c -r O z OD C4. CD rn 0 s� SENDER: Complete 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 U return this card to you. 1Attach; thi596rm to the front of the mailpiece, or on the back if space does not `permli. I also wish to receive the SENDER: � • Complete items 1 and/or 2 for additional services. following services (for an extra v N • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can feel: @ return this -cardto you. 1. El Addressee's Address fn a Attach this, Yofm to the front of the mailpiece, or on the back if space Q does not permit. I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address v Write "Return Receipt Requested" on the mailpiece below the article number]2. ❑ Restricted Deliver O Y Write "Return Receipt Requested'' on the mailpiece below the article number. Delivery y 2. ❑Restricted Delivery • The Return Receipt will show to whom the article was delivered and the date V The Return Receipt will show to whom the article was delivered and the date o delivered. Consult postmaster for fee. y I o delivered. Consult postmaster for fee. Cr v 3. Article Addressed to: 4a. Article Number -o 3. Article Addressed to: 4a. Article Number MLr. � ►e S � ►° a g�q g8 f � S(D9 18 i�•H� �Clt4C���Se" 4b. Service Type wt 01� ❑ Registered.--. q ��Oa� E • I t ❑❑ XCertifiied 7a)�OvL- ❑ Er� ssr ail 7. datelot� r 5.= e (A�3+essee) 8. A' drenge's A D � r� � rl � an e�1�V r 6. I ure 3 O cc 4b. Service Type Insured � � S� ❑Registered El insured E�ODN y MU C) C I �Y ]�„ Certified ❑ COD g urn Receipt for =1W � � ���, '� ❑ Express Mail ❑Return Receipt for ichandlse M Me r 7. Date of Delivery 'o Q Only if requested x FE 5. -Iignature (Addressee) 8. Addressee's Addras ( efl and fee is paid) L I- ILI 6. • nature (Agent) o' PS EzAi 3811, December 1991 *U.S.GPO: 1992--323.402 DOMESTIC RETURN RECEIPT PS Form 30,lq , Decembe *U.S.GPO: 1992-323-402 DOMESTIC RETURN RECEIPT dlse � 4 if requested i F o SENDER: y • Complete items 1 and/or 2 for additional services. y • Complete items 3, and 4a & b. 0� • Print your name and address on the reverse of this form so that we can CD > return this card to you. W • Attach this form to the front of the mailpiece, or on the back if space does not permit 47 as SENDER: 0 I also WISh t0 receive the rn Complete items 1 and/or 2 for additional services, following services (for an extra di C7 • Complete items 3, and 4a & b. V �O • Print your name and address on the reverse of this form so that we can feel: 4) return this card to you. 1. ❑ Addressee's Address Ij) (D does Atta h this s form to the front of the mailpiece, or on the back if space ~ +' N I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address t C Write "Return Receipt Requested" on the mailpiece below the article number. O. t Write Return Receipt Requested the belhlb 2. El Restricted Delivery eceequeson e mailpiece ow the article number, 2. El Restricted Delivery • 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 delivered. Consult postmaster for fee. y i delivered. Consult postmaster for fee. 0 3. Article Addressed to: 4a. Article Number 3. Article Addressed to: 4a. Article Number i� r _ (����- C`U�L�(� �' �� �(c�P I I d �� uwlole� ,kip rvkQyrf �rv;cej P,3qg gC i Z � 4b. Service Type 0 �i ❑ Registered }`� t i �• l�� Certified ��� `7a Ute- ❑ Express Mail 5. Signature (Addressee) 6. Signature /y rr.� ; Hat e � 4b. Service Type El Insured � ) o ! ' 1T r� � n El Registered El COD ) CA r�(D r\CL 1A�fc- KCertified ❑ Return Receipt for MI w �)• 7�-0 3-- ❑ Express Mail 7. Date of Delivery 8. Addressee's Ad and fee is paid) ❑ Insured C COD ❑ Return Receipt for 7. Date of Delivery 7 a O if requested v 5. Signature (Addressee) 8. Addressee's Addre C and fee is paid) H F- 6, n ure I�Tnt1 f?�-- 0 0 if requested I d F PS Form 3811, December4t91 *U.S.GPO: 1992�23-402 DOMESTIC RETURN RECEIPT y PS Form 3811 , December 1991 trU.S.GP0:1992�323-402 DOMESTIC RETURN RECEIPT Ql m C 7 C a CO M E `o Ll - (n fn CL P 3918 86 9 11 Aw Receipt for Certified Mail No Insurance Coverage Provided Do not use for International Mail (See Reverse) Sent to r M C }�\E� l \i 1 5• tRand NA._ P -O` le and N Cadet Postage (pled si eel pue W' palsenbei 1! AluO) ss appy s,aassajppy g VKZF,C aassa�ppy) ain eu g Certified Fee 1 �J Special Delivery Fee A.lan1190 10 Ole(]01 'L C yl� --�` O �'�' L � r� � � OQ] y Restricted 4�s.ery.6e�^ 400 ❑ pa1lllJaO`�l Rn Int' ifa & Date vele' 'n l'il nyVhgm Irrd ;Rece�i]r4811 ll, m 9dA1 a01AJOS -qt i y` f7jaq D!l 'E r e 1dI333U NynAU 0IlS3W0a z.00-ez—aewocm•s•n4L 1661 jagwaaa0 ILL9E: waoj Sd C ua I ain1eu61S •g 3 (pled si eel pue W' palsenbei 1! 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