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iii iiiiiiiiiiiii iii <br />999 <br />3 ~tVDER' <br />•CandM• items t •tWOr z for edtlitiorol eervtoN. I also wish to receive the <br /> •CerrytlNeitems 3, •e, and Ib. following services (for an <br />~ u ~ ~ a~~s an ut• reveres of tH• brtn eo Nat w• ran velum this <br />•u <br />o i <br />~ extre feb): <br /> <br />Y yo <br />r <br />o <br />nclr Nb loan to Ih• hM al tM mtitpiece, or on th• baWr if ep•ca does net <br />•rl <br />el <br />t <br />1. ^ Addressee's Address ~ <br />; <br />! ~ <br />1 <br />•WM•'A•fum R•aiot Requesr•d'onthe maid•u bebwthe edict. raxrber. <br />p <br />' <br />•7M RMUm Rx•ipl vrie Mow to whom the adid• was deevered end the date <br />Q.^Restdcted Delivery rTii <br /> OYivwed. Consult posbnaster for fe6. <br /> 3. Ardde Addressed <br />~° 4a. Ar6cl9 Number <br />~a <br />9 <br /> ~~ <br />~ <br />(~ 0 <br />z <br />X ~ <br /> , 4b <br />Service <br />e <br /> _ <br />l~ <br />~(~,~j ~~ ~~ <br />J <br />~ . <br />yp <br />^ Registered ~Certifletl <br />^ Ex <br />ress Mail ^ Insured = <br />Q4k <br /> '/~ f ~/~ l <br />. <br />~ <br />3` <br />" <br />~ ' <br />^'~ <br />• p = <br /> > <br />O <br />- <br />~J ^ Retum Receipt for Merchandise ^ COD ~ <br /> ~ <br />C r..p/ / <br />A v"` l <br />p 7. Date of Delivery. <br /> <br />t ' <br />~ OS <br />r <br /> . <br /> S. Rece}v : (Print N ~ 8. Addressee's Address (Only it requested <br /> _r~j~t~~~ ~i~~/ and fee is paid) <br />0 6. Signet re: Addrgsgs urAgenlJ <br />r <br />• yVl <br />A <br /> PS pwm 'le b~fnNr ts94 mss e m eceipt <br /> <br /> <br /> <br />Z 4L6 942 39 <br />eseCgipY•fo• f f~ <br />Censu a~e ~{~rM <br />,o ;per Do not use /or International <br />r ro <br />C Sr~ <br />P O rare anE IF Co <br />g ~G~ <br />~ Postage <br />F Ce~ur~eo fee <br />O <br />LL SOeaai Delwer~ fee <br />Pesu¢tec Ll•bverr Fee ' <br />Perron fleeei0r Snowing <br />to Wnom g Dale Delwereu <br />Perron flereipl Snowing rp Wnom. <br />Dare. and ptlOre55ee's Atltlres5 <br />TOTAL Posrage i' <br />B Fees <br />Postmark or Die "' <br />1, f ~. <br />1~' =. <br />` ly~b , <br />.. <br />C <br />E_ <br />t <br />M <br />T <br />M <br />r <br />