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Do not use for Intemational Mail See reverse }( Sent to ; PS Form 3800, April 1995 r rv�5,3 rear a l'hm+6er �r r a o vcI �P- Pii- Pest olfrts, State, & 2 m 4 L n 7a470 Postage $ 3 Certified Fee m Special Delivery Fee SL Resnided Delivery Fee 0 DW=g to d I /� l� 'S Y TAL P ee $ O( or � ` o u�� cry .n o T w a -�a rL m m w [! IIS 4 o m to ii7 (m�� ru J 3(40 fo _ Gr} wn Ln !] Ci 93 °' a w a _ a - III Z 072 565 274 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Intemational Mail See reverse }( Sent to ; PS Form 3800, April 1995 r rv�5,3 rear a l'hm+6er �r r a o vcI �P- Pii- Pest olfrts, State, & 2 m 4 L n 7a470 Postage $ 3 Certified Fee m Special Delivery Fee m Resnided Delivery Fee ru DW=g to d I /� l� 'S Y TAL P ee $ O( or � ` �j u�� cry .n `ttn T PS h i 5ZMIC c � y o mem O Zoog. u 2 ni o. m CD Ln 0' rn �5-W CL CL ru w N m Q. 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