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w SEN ER: I also wish to receive the <br />p •COrriplete itemslandaYfor additional services. <br />m .Complete items s, <a, and ao. fogowing services (tor en <br />~ • Pdnt your name entl eddrees on the reverse of this bmn so that we can return This B%tr8 fBe <br />~ <br /> <br />j rartl to ycu. <br />•Adach this form to lhB hoot of the mailpiece, ar On Iha batk it space does not <br />1, ~ AddfBeseB~S AddrB55 N <br />u <br />Z <br />m <br />O pemit. <br />• Wrire'Reram ReGeipf Requeared'on the meilpiece below the adicle number 2. ^ Restricted Delivery <br />` y <br />t. <br />~ •The Return Receiq will show ro whom the enicie was deliveretl and the data <br />,delivered. •R <br />Consult postrnsster for fee. <br />° <br />'v <br />t] o. rsmau nuurnssnu w: <br />a Ix ~~ Q..,'~LI'J~h.~3~.~ p~'1'N <br />0 <br />Q <br />?I 5. Received By: (Prrn <br />„~ <br />g 6. Si~(gnature: (Add <br />w <br />~~1.1 vl~s <br />~gZ <br />^ Registered <br />^ Express Mail <br />^ Re(tlm Receipt for <br />~~ <br />lee is paid) <br />PS Fo 1 .December <br />/ ~ 43L 408 <br />~ I service <br />ipt for Certified Mail <br />nsurance~COVerage Providetl. <br />t h~ <br />o not use for International Mail See reverse r <br />to <br />8 u r <br />. _ 1 ~ eA1,~'~7 W <br />asl Office, Slate, 8 Z Cade CLlti'. ~ <br /> --+ <br />Postage E ~ <br /> <br />Certified Fee <br />/ ~ <br />Specal Delivery Fql v Gl <br />s ~ <br /> N <br />Resldded Dariy9g'F ~ <br />Ratum Recei l r!i' d <br />Whom 8 Date live D ~ <br />Remm Receipt ~ m Whom, - C <br />Date, 8 Atdasseas ~ <br />TOTAL Postage 8 FB ,b' (f gp <br /> <br />PosbnaA or Data <br /> C. <br />m <br />rn <br />6 <br />O <br />m <br />IL <br />a <br />f7 <br />I <br />^ <br />(] <br />1 1 u <br />1~ <br />(' <br />~ <br />l <br />= <br />L <br />1~C <br />_ <br />~- u <br />Certified ~ <br />^ lnSUred <br />iise ^ COD ~ <br />` <br /> o <br /> <br /> T <br />fly it requested ~ <br />r <br />