|
�„ .
<br /> 0
<br /> G '
<br /> �c ' ,
<br /> �
<br /> � •
<br /> �
<br /> Y '
<br /> t�J
<br /> fTl
<br /> W
<br /> �
<br /> �
<br /> . , _ "' ._'_'__"'' '_" ' ' . " . ' ' - " '' ��'t�.K�T. �.4�Y'.�.�*,�Y`"4�;u,R'�t�N'. �' �.
<br /> 1;� ¢ o.YK T s:���� = °A+µag��rh L.�";:�"'� ',��,.�P-
<br /> , nt:. .. . � - S�i.'.?'Fu�: '!k.F�`, `�:t.i,. �{, .��.+.'�4�;.'€..���:'.+yr.;:i1�T�?�; �,>I,� • .
<br /> nYr�a':
<br /> iENDER: Complete items 1.2.and 3. ? � � SENDER: Complat�itemt 1.2.end 3. ' �� ..�`..`" �` � r��+� + ''i", ` ' .
<br /> • Add our address in the"RE1'URN YO" • ^ '+:�+'`^ � a�+''�� �4
<br /> Y sP�oa a �.� o Rdd your addras in the"RE7'i3RN TO cp�po os �'' '"•;;�"},,�.�,�` �� `s ; `
<br /> roverse. � ti, � ' nvene. , .Y .a'��� .�. ; .r M .. ,� _a .e•;4;�f`, �
<br /> J ,�.t �:'yC '�'° "' �.;.:�'� ,� ° .� k't :
<br />'he fuliowin�service is requested (check one). . ' � I. The fo11owioF service i3 requested (theck one). ' p-i ^� ��* ,�s.� ����u������ �
<br /> , � X. . Y°'�.. .:. `Kf Y`i 2 f-
<br /> T' y:x }j
<br /> Show to whoen and date delivered. .... .....�.¢ � a $hQw to whom and date deljve�ed:;.,....._...,._..4 -'- ���, `'` '�� � �"
<br /> 7 � ❑ . � rr<� � ,. �,'.�.R
<br />� Show to whom,datr,and address of detivery.._..¢ :' �' � � Show to whom,date,and uldress of delivery,...,,.,_¢ ,f�` '; . `_�����`��►«�' '�• `.
<br />] RESTRICTED DELIVERY � t � RESTRICTED DELIVERY . t,.�,; k�.°� �� -��'���;.��Y
<br /> Q , ; � �.. . � �,. � r;�; '_
<br /> Show to whom and date delivered.........._.,,_¢ Show to whom and date deli�e�et}. . :,^:,,�,.,,4 '�.� ""�::" �#�. '�
<br /> �''�.� :�,�����{ S,
<br />] RESTR(CTED DELIVERY. �� � RESTRICTED DEL VE `' ���' _ ���'- � � y'
<br /> � 1 RY. ?� :' :'� } �.� �.;..��'"
<br /> Show to whom.date,and address of delive .�..._.,_ � a ~;'��.• !, �'� �`` * �� �� � ,�:4 .
<br /> rY �. 4 Show to whom,date and address pf de{�ve + S Y`y' Y �`' ���F�c;���
<br /> } 4 ' ty• '^'"' ' � .�������.� �'�';s:�
<br /> (CONSC�LT POSTMASTER FOR FEES) � � ' (fANSC�LT POSTMASTER FQR FEES� � ���;. ;�,�p q������;,�K]bST�'%�'��"�'.E�,s,�.,u,�',. >:
<br /> � ,� : ,
<br /> ' � ; ;':� � ' . ..
<br />�RTICIE ADORESSED TO: 2. ARTICIE AODRESSED TO: ' .> r"; '�'�," - ������� � '�' +``F} ` �
<br />�b� a-��, s u S �r- � -� ��u �r�f�' i . w�..,. �_ ,��-�.�....r,.c.k' �� �° �x '�� ,�� �r�,`a�,�a�,"-� " " �. �*
<br /> /' J� �. � �y (� _ ' _ .. �`� ',1 F � u 1
<br /> 3 .J ��i Lv /r � � � � f` aT `t� '�a � i ` (��i � 8�`P ia ���'�"�-"�'{"� �X ��£ a��.
<br />� � c._ C ^l� ! Ll � ,I-� _f i:J `' .S a 3 "�` '�G �' C''_.cY�GLd'L.� 4.J.f� �r e`�l.'.��:1 :l— , ' - �;� �h � at - h� ``n'„y'r� ��'\' ` •' 1 ���,,
<br /> -- -� � ^ �. �. ��" "` i'_ � .., atii
<br /> '��"� 3.,ARTi�tB PE�!G/t1P1►FqNt
<br />�RTICLE OESCRIPTION: Z 3. ARTICLE DESCRIPTIQN: � �*z;�p h '-. �" `;.�, ;:��� p ' ,�; '_
<br />�ISTERED NO. CERTIFIED NO. INSUREO NQ. ' � , m REGISTERED NO.. CERTIFIEp NO, INSURED NO. - ' ''� � RE���#s�� �+ ��Y����,��� 1 ��'�•:�c� �"�s,"�'`�
<br /> / / m (� .� �; 4 _k,rK /�} /�;�,^ j - ,� ky �,�'.
<br /> _f.`�G'/ .,'S'1/ �� I ' y �� .3 �l 3' � � _ . �.�1 •' :� ' �, �`�(p:�'`'!/`�.- h ;�-' r '` ;�'��. �'�.','
<br /> —1 -"� ` , r' '�,�_.n. �1. ..
<br /> t (Always obdin siynewre of addnsse�or wend � � 1 tAlw�ys o6tsin ti�ptewn of�ddr�or aornt) ,.� � ; m �#';. �Alw�ya obl�ht t(O1�NM Af#diNww�4i' "' `F'' '�' ' �
<br /> ave received the artide deuri d ve. ? � � I have received the article dexribed �bave. � o I �+SY''c�eived the �rtic�e deacnb,t� �e�' ; �.•'�'
<br /> � SIGNATURE A dre "� '��Q�T "�� r �g
<br /> N�i E ❑ Addressee uthorized agent i . ❑ d sseC Q Authorized agent m ,,r, . � Add�re�p� ,, �` :�W ;�..
<br /> 9 m ,.Y,. � # �� , s �•� �:� .�
<br />� / i � *�'� � � P 8 O ,� x ��`� ��':'� �•"'fM,� .'�':!� '1„'�'�"�::
<br /> �1 1 I ..c - - r�.�j '. .;�'.. � � . . , t�.
<br /> TE OF 0��}fS � ; � 4 DAT F DEL Y TMARK �,'�� �'�+'� R�TE D� BLIV r'. , "•,, ' ; ;'��,
<br /> � �f C .� , 3+w ,c°-yf� .� ,.
<br /> wr 1979 % ,Qp �� ' o p . , ,,;� � �, o t< y `�, � �: �,. � ,�a:�
<br /> j , � ,
<br /> 10DRESS (Compiets only if nqueste (A `(�� . ' ' � 5. A �RESS Complote o�ty if roquost�dy . � Fs�;o S'�1DGRESS (�omplo�oAtl�i�r�qvM, � ,����_, � ��
<br /> 1 tt .:h
<br /> , o�. . 1 1 0 ' $ � � , ' 3 �
<br /> 4\ ,'r�' i y - n a� � �,,�n , � v ���
<br /> �_ m . ' � , 9 - ,,�t `G e„1. ,t',
<br /> / { � t� � � ;?i,f';,�:..,, .� S,.F, *
<br /> UNABLE TO DEUVER BECAUSE: _ CLERX'S � : T - T ��bA� TO D�LIY�R � "' �;�.' ' ". ., t� '�t �`�.,
<br /> � � 6. UPIABLE TO OELIVER BECAU&E: , CIERK`S � ',� � ,. � �� (� . ��
<br /> i �NITIALS � 6 Y���k��t�r ; ���"�'.w.} `#°;�y����� rttt''�"'`,
<br /> ` ' � 3 S, i!.� �:��,«s�� �w:��., r ,�. �<3�'°,�.�,.,�f�' �r� � ��:�'`
<br /> s r � P �� ' 'ac'` "=�;;r .;�'��'
<br /> i� i .h a►o: ����-:ara�a t� '�` �+r«,�;x;-,-� . , :,,�:< �Nqs'i�►YM6liarfiR7t.'s# .
<br /> a.o: ie��-zTs-��s i t'r . .._
<br />
|