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n. <br />~° SENDER: <br />y • Complete items 1 andlor Z for addilicnal services. I also Wish tO receive the <br />y Compkte items 3, antl 4a b b. 1O11OWing a¢rviCea (for an extra ~ <br />y-+~orint your name and etldress on rrre .eve.se o/ this form so that we can feel: <br />m return this cord to you. <br />• Attach Chia form to the Ir~ ~ the mailp:ece, or on the back if space 7. ^ Addressee~S Address N <br />doss net permit. •„ <br />y • Write "Return Racei tRe nested"on the mad ace below the article number. 6 <br />p u w 2. ^ Restricted Delivery •m <br />• Tha Re[um Receipr wdl show to wham the article was delivered and the date ~ <br />c deLVeree. Consult ostmaster for fee. y <br />a 3. Article Addressed to: V 4a. Article Number ~ <br />~/G~n ~~•~ J,., ~k~' 4b. Service Type m <br />p ~i ~Cl~~ C k ~Ii~-J(„,1' `"I~ ~ ^ R gistered ^ Insured ~ <br />y ,~,. r'~ ~x ~ C.(' - ~rtified ^ COD E <br />w t /vi++,n ~ / /\ ~~r•O'1 _O O re43 a ^ Return Receipt for ~ <br />V ~- KJV l-CJ bLJ.»I 4 ~ Merchandise <br />~ 7. a Ja li ,°~• <br />Iv J b o <br />~ 5, Signature IAddresseel ddres 's A re s (Only if requested ~r <br />~ a fe ai ~ <br />W ~ L <br />~ ign tur ( g tl ()c05 ~ <br />~ PS Form 11, December 7997 cu.s. cvo: toes-3szau DOMESTIC RETURN RECEIPT <br />c <br />Y <br />L <br />V <br />C ' <br />I <br />F• 296 6~8 456 <br />r°y.r•r <br /> •n1,lO ~i <br /> eel a n i <br /> P , Slalli. and ZIP COdP. ~~yQ <br /> Pasta9e REC tVED <br />_ Ce~ul~ed rem <br />V <br />_ Speoa: pebrery Fee <br /> Pevucled Delioew Fec <br />rvi ion of II <br />rals s eofdg <br /> eetwn Rece~pl sndw~ng J <br />Lv <br />D <br />n <br />B D r <br />p ere <br />are <br />e <br />to Whom <br />y Rewrn eeceml Sndw~ng to <br /> Oale. and Addressee's Add~es4„ ~~~. <br />7 TOT0.L Postage <br />~ & Fees <br />~ Poswark o: Dale <br /> <br />E <br />o _. ~ _ <br />~ ` <br />n <br />1 <br />Receipt for <br />CertaiL~~^, _ <br />No Insur nc C vid2C"~ <br />Do no~y~~ fgr Igt~`~Iw,~na / <br />ISee e s ~ ~ I Lam) <br />