RECEIPT 
ADMINfSTEATIGN OF THE UNITED STATES OF AMERICA— KEiUKN Hhht 
ADMINISTRATION DES ETATS*UNIS D’AMERIQUE— AVIS DE RECEPTION 
STAMP OF 
TIMBRE DU 
for a letter with declared value of \ 
d’uue lettre avec valeur deciaree dej 
a J (complete address — y- adresse complete) 
The undersigned declares that a | registered article / above 
, . . deciaree! v jj^j^esse susmentionnee, 
Le soussigne declare ©bjet recommande / 
and originating at\ 
et provenant ds ) ~ 
was duly delivered \ _ _ 192 
a ete dument livre lej """ , r., fji- 
c‘ I n /' 3 N nf Sionaluife (^) of the postal ollicia! of the office of dehvefy.l 
Isrr: Siina,ureyaeragenUub»„a.dis,*.eu,: I 
” ("n (o') / See notes on front. \ 
( T (';> V ' ! Voir notes au recto. J 
-4;ic3t5 ■ . . 
entered at the c 
enregistre au bu 
mailed by M \ 
espedie par M j 
and addressed to M 
et adresse a M 
STAMP OF 
TIMBRE DU 
