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RETURN. SERVICE OF N®TICE <br />The State o~ ®him,...---.---------------------------------------------------------------•---------.County, ss. <br />On the------------------------------------day of.--•-•-----.-......._................................................-----..........-., 19...-........, I served the within Notice on <br />by delivering to------------------------------personally a true copy thereof, and on......................................................----.....................---------•--- <br />by leaving a true copy thereof at ....................................usual place of residence. <br />Return and endorsement on original only. <br /> O <br /> N <br /> o ~ <br /> U <br /> <br /> O <br /> <br /> <br /> ~ O <br /> , ~ ~ <br /> o <br /> <br />;~ ® w <br /> Z ~ <br /> ~ <br /> ~ <br />o~ <br />o~ <br />U <br />e <br />} <br /> <br />