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RE"I'URl>I. SERVICE OF NOTYCE <br />'I°he State of Ohio.................................................................................. Conusty, ss. <br />On the.................................... day of-................... _.................................................................. 19............, 1 served the within Notice on <br />by delivering to.............................. personally a true copy tihereof, .and on......................................................................... _....... I <br />by leavinq a true copy thereof at ....................................usual place of residence. <br />Return end endoraement on orlginai only. <br />'Am <br />O <br />m <br />;j <br />i? <br />'U <br />? <br />? <br />O <br />.L <br />? <br />.3 <br />U <br />Z) <br />0 <br />U <br />0 <br />F?1 Z <br />? <br />C) <br />z ? <br />? <br />? <br />w <br />? <br />? <br />oi <br />H <br />? <br />o? <br />? <br />4 <br />i, <br />?