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7/25/2019 Mccalla Raymer-Afidavit & a4v (6 Jan 2016) Return Receipt
1/1
Urureo
Srarrs
Posrn-
SeRuce
llllll
Firstlass
Postage
&
Fees
Paid
USPS
Permit
No.
G'10
'Sender:Pteaseprintyourname,address;rndZlP+4@inthisbox'
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Complete
items
1, 2, and 3.
r
your
name and address
on
the reverse
so
that we
can
return
the
card
to
you.
r
Attach this
cad
to the
back of
the
mailpiece,
or on the front if space
2.
Article
Number
(ranobrfrcm
wvic
RE
3Eq
011,
g{a
us
1.
Article Addressed to:
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0828 5215
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Certified
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RetumFeceiptior
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Signaturc
Confirmation
Beotdcred
Dslivery
ffililllllll
dress different from itern
'l?
Yes
lf YES,
enter delivery address below:
PS Form
381
1,
npril 2015
PSN 75s042-000-9osg Domestic Retum Receipt
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