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�II! IIIIIIIIIIIIIII! <br /> 999 <br /> SENDER: <br /> a .Compete genre 1 andror 2 for additional services. I also wish to receive the <br /> o -Complete Items 3,4a,and 4b. following services(for arl <br /> e •Pdrayouur name and address on the reverse of this form so that we can return this extra ISO): <br /> Mat a you. <br /> •Mach this form to the hrn o of the meilpiece,or an the hark if space does not 1. 0 Addressee's Address <br /> o permit. pZp <br /> c •Wrte'Retum Receipt Regaearted'on the mitoses,below the article number. 2.0 Restricted Delivery y <br /> Cr 'The Retten Receipt will show to whom the artide was delivered and the date <br /> delivered: Consult postmaster for fee. <br /> -a 3.Article Addresse to: 4a.Article Numb o <br /> vl U ( I� PrQs� Z_ s�Z 2�d <br /> cL 1�{ I��I 4b.Service? e <br /> u �1 �""1 ❑ Registered ertified <br /> ci,+ ��/ Express Mail O Insured <br /> ��//(� (JJ� ( ��319`1 �.0&33 ❑ a <br /> 0 Return Receipt for Merchandise 0 COD <br /> 7.Date of livery <br /> r <br /> 5.Received By: ( nt Name) 8.Addressee's Address(Only if requested J° <br /> and lee is paid) <br /> g 6.Signature: ddressee or Agent <br /> 0 <br /> a <br /> Ps omi 3811, Decem r isg4 Domestic Return Receipt <br /> 4L6 942 27 <br /> ReSC��(Q�1PL�f <br /> N efni�Yrai� � /Stu <br /> d <br /> Do not use for International Mail O. <br /> (See Reva el rb <br /> � 5 O <br /> eSt t No <br /> P <br /> 0`) <br /> coPostage t <br /> C Cerrhad Fee <br /> 6! Ct <br /> Spenal Deove,Fee ' <br /> Revncted De-ewj Fee,' <br /> Return Receipt Sh{tg fit <br /> b Who,6 Doi piltyet4W. <br /> Return Receipt$ n Whom, ® O <br /> Dale,and A oftass W's Atl r <br /> TOTAL Postage G� <br /> b Fees $ (� <br /> Y <br /> Postmark or Date (a7 <br /> yi <br /> r, <br />