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M1 <br />SENDER: <br />'~ • Complete items 1 and/or 2 for additional services. <br />~ • Complete items 3, antl 4a 6 b. <br />~ • Print your name and address on the reverse of this form so that we can <br />~ return this card to Vou. <br />` • Attach this form to the !root of the meilpiece, or on the beck it space <br />m does oat permit. <br />•t. • Write"Return Receipt Requested"anthe mailpiece below the article number <br />• The Return Receipt will show to whom the article wes delivered end the date <br />~ deliveretl. <br />~ rti ie Addressed to: a. A^Orl <br />To.r~ <br />3. T <br />I also wish to receive the <br />following services (for an extra <br />feel: <br />t. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult postmaster for fee. <br /> y~~/~,~~ ~/ <br />`n A'/^, <br />" <br />O <br />~ 4b. Service Type <br />u ~" <br />II ' `~"~ ^/Regi d <br />~~ ^ Insured <br />y <br />~ LJ Certi ^ COD <br />~ ~ ~ <br />lln CO QrnZ ^ Express Mail ^ Mercha <br />C <br />D <br />~ ~ <br />~ h 7. ~e o Delive <br /> <br />Q / <br /> Sign ure IAd sseel 8. A dresse s tldress (Only <br /> <br />~ and fee is paid ) <br />f /1 nn <br />n - <br />¢~ 6 <br />for <br />m <br />V <br />.; <br />m <br />H <br />6 <br />'m <br />U <br />f0 <br />G <br />d <br />G <br />rA <br />c <br />.y <br />7 <br />O <br />0 <br />T <br />c <br />H <br />nU.S. GPO: tiY3-362~71~ <br />