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fp Attach this form to the front of the meupiece,or on the beck if space 1. D Addressee's Address y
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2 write"Return Receipt Requested"on the maapiece below the anicle number. 5
The Return Receiptwill show to whom the article was delivered and the date 2. Zi.Delivery
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. -a 3. Article Addressed to: 4a. Article Number
m Northampton Ford P 573 708 524
E Roger Jourdain 4b. Service Type e
55 Damon Road ❑ Registered ❑ Insured a
to Northampton, MA 01060 Certified ❑ COD E
w ❑ Express Mail U Return Receipt for D
ir Merchandise w
D 7. Date of Delivery
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C5. Signature IAdtlresseel 8. Addressee's Ad less( my if requested s '
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dr 1h', Dbdem er 1 i usidro:twa-1sz-su DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE I II II I
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT U.S.MAIL
OF POSTAGE,$300
Print your name, address and ZIP Code here
•
Building Inspector's •
212 Main Street
Northampton, MA 01060
# 21CC1 Bb'BT k.A4• 01469 TTO ?au130 3M
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nese PENALTY FOR PRIVATE 8.11
USE TO AVOID OF POSTAGE.PAYMENT U .S.MAL
300
1
aII
Print your name, address and ZIP Code here
K ,t Building Inspector's
--/:.I. � 212 Main Street
Northampton, MA 01060
I 2 kk JO!} et—et Hieb T'1, 4= TIO ja 1-134 3M