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A _ _ _-~ <br />v SENDER: <br />'y • Complete items 1 nntllor ~ tar additional services. I a150 wish t0 reCCIVe [hB <br />O • Comphte items 3, arW Aa 8 b, f0110wing serVICBS (for an a%Sra LOi <br />~ • Print Youc narrse and address on [he r¢verse of this form so that we can feel: i <br />O return this card to you. <br />m • Attach this fdrm to the front of the mailpiece, or on the back it `pace t . ^ AddreSSee~s AddtesS y <br />t0 tlces eat Oermit. • <br />Y • Write"Return Receipt Requested"on the mailpiece below the article number. 6 <br />• The R¢turn Receipt will show to whom the article was deliveredend the date 2. ~ Restricted Delivery •O <br />o delivered. ConsulC postmaster for tee. m <br />v 3. Article Addressed to: 4a. Article Number ~ <br />Gwc~~r F~a~s-~~ _ Z 6b~ S ~{ <br />n n, ,M ~f /r b Service Type ~-., m <br />u ~fj~r trt (it. V rb `"~" I ~~'~ rKC'- Registered ~ Insured ~ <br />w ~$~( Y~QS~ ~f~ fp7t~~/ t~/~ /~ .~Certitied ^ COD 5 <br />w > Y~ ~rt(1 / ,f/ y J ^ Express Mail ^ Return Receipt for ~ <br />Q~/'~~~/~ ~~ ^~~~~ Merchandise <br />Y t ~/1 7. Date of elivgry~ / , <br />5. Sig re (Addy a 8. Addressee's Address (Only if requested ar <br />'~ and fee is paid) ~ <br />~ ~ L <br />6. Signature (Agent) ~ <br />n PS Form 11, December t991 RU.S.GP0:1BD3-357~)t~ DOMESTIC RETURN RECEIPT <br />i~ <br />~P 296 6~8 454 <br />H6 <br />~ Cep <br />• No h <br />J ,e-~~ Do r <br />(See <br />1 S;nl io <br />7] <br />_1 P <br />y <br />Posla <br />_n Comb <br />.V <br />Specp <br />~_ <br />r nester <br />eewm <br />~O! to LVni <br />y y nemrn <br />- e Dale, t <br />n~ i0r4L <br />~7~ C tees <br />;e~~ Posf m; <br />m <br />~ M <br />E <br />~o <br />LL <br />a <br />N <br />-for <br />for <br /> <br />s A.RGa«Y 1 - <br />or Dal <br />