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t ,;e items t and/or 2 for additional services. - -- I also wlsn io receive Erie s <br /> i Mete ROMROM3,4a,and 4b. , following services(far an N UZI � o D � A <br /> toname and address on the reverse of this form so that we can return ttli$ extra W)' - �' o • <br /> yo -0 <br /> :h this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Ar<res m z c a 9 m00 -0 <br /> � n`�A O <br /> tit co o c 0 Er::E c: <br /> 3'Retum Receipt Requested'on the mailpieca below the article number. 2.❑ Rest-icted Der <br /> Return Receipt will show to whom the amide was delivered and the date 3 tr win • <br /> rend. Ca -. :: 'n ern 1 =m <br /> tide Addressed to: 4a.Article Number - is (� o v o Ii a s <br /> �ot�ci��t�, 2 Ur✓ d• z�.cx ::?. . Q o m a R a m m <br /> .}� 4b:Service Type �, v cr Q <_CL <br /> C <br /> V l LL-1� —a c.e��f - ❑ Registered A -� CO -s 0;° W <br /> 1 C Qc G ❑ press Mail r� o o 1 �+ o <br /> ❑Return Receipt for k-, '1 OC r• 3_c • <br /> 7.Dat of Deliive/r��/ _ - SD . a� <br /> ` [.! ° C;j m m <br /> aceived BF(-PrintfJame) B.A essee'--sAddress(untyit ^f'= + i O <br /> and fee is paid) a <br /> r p m p <br /> ° P X ? <br /> i .- gaff ca ❑ _ <br /> • �• •• ..• 17s Dotmestic Return Receipt A y =91 <br /> m a n92 <br /> CD• •. �A m <br /> °NDER: ° $ ~ a <br /> m � <br /> ompiete i 1 - <br /> items 1 and/or 2 for additional services. I also wish to receive the S m p <br /> ompleta items 3,4a,and 4b. fi+I-----services(for an m a <br /> Ant your name and address on the reverse of this form so than�e .� i. 7J m <br /> erd to you. 417 ^ <br /> �iruiormto the f. ?4D7 33-d ©13U1 1�3 1.❑Addressee's Address <br /> ❑❑❑PM <br /> a3 <br /> Vrits'Retum Rec piece below the art�le number 2.❑ Restricted DelfVery a R �m ` <br /> he Return R Show to whom the attide was delivered and the date P 3 <br /> slivered. Consult postmaster for fee. M m <br /> Article Addressed to: 4a.Article Number, F 3 <br /> P 5� 5 . (.c) <br /> �s <br /> 2CUNJ�L`31�c"Cl-�L N 6. -Vi IS U� . 4b.Service Type ❑ c ❑❑ m <br /> ❑❑ <br /> Z to <br /> ❑ Registered ® Certified $ to m m o CL 0 <br /> Jei t ❑ Express Mail [3 Insured w <br /> 32dr-t W . Z8 `51•. ❑ RetumRic*t for wrchandse ❑ COD <br /> 7.1of Delivery - -- <br /> Received B . Piinf 8.Addr s Address On if r o D O <br /> Y( (Only sgrresfed o /� Cr n o d 3 ° <br /> l and fee Is paid) 3 m m ^ 7J rD m ' �o.a <br /> Signature:(Ad aorAgent) j a m 2:*si m <br /> i 3 g J N oo �wwm <br /> >Fort 3811,December 1994 to25s5-97-r3-o,7s Domestic Retum Receipt a 3 r-5 f a �, °M 81 <br /> N - S <br /> SECTION • x y.�W <br /> i <br /> • • s I a Cr-7 -a a o ru D <br /> lete items 1,2,and 3.Also complete ig � i 4 3 (D-<s m 0 <br /> if Restricted Delivery is desired. X QJ� �� Z R c 0 a 3 <br /> our name and address on the reverse ❑Addressee m p <br /> t we can return the card to you. B iv by(printed Nram�e) Date of Delive $ 0 � m <br /> i this card to the back of the mailpiece, Qm ���'� 3 r� t3� m m <br /> the front if space permits. l.! �t- <br /> D.Is delivery address different from item 17 11 Yea CS <br /> Addressed to: ❑No 0 <br /> RYES,enter delivery address below: <br /> 00 iq � �[� si <br /> 0� <br /> �J N0 �� <br /> O D <br /> p��s C) <br /> AO n 1 3. Service Type m , a m a s <br /> a <br /> Certified Mall ❑EVress Mall m = ° i <br /> ❑Registered ❑Return Receipt for Merchandise g g <br /> ❑Insured Mail ❑C.O.D. ❑❑❑ Q z <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes d M g <br /> I m ° 3 � <br /> i Number c / C M <br /> ferf rnserviceLbeo 7000 oSZo 0o I$ (�5b� G..� 4D i @ _� 3 <br /> l 3811,February 2004 Domestic Return Receipt t02595.0244-1540; o <br /> • o <br /> ' — N 0 ❑❑ <br /> '� [ m z m a ro <br />