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_ . ~ 41 9 . 4 31 ~r.'ry <br />'p~-- I 1 <br />~f e r ided('~ <br />rg,.,,...o Do not use for International Mail <br />ISee Reversal <br />m <br />m r <br />J <br />w <br />O ~ <br />~ ~ <br />M <br />E N <br />O ~ <br />LL <br />6`' ~ <br />Rl <br />C.l <br />l~ <br />W <br />7 <br />C <br />cu <br />_~ <br />n <br />n. <br />el and No 1 <br />O. $~~e antl L a2 <br />Post <br />Lerhlie0 Fee <br />$peCia D2wer ~ •. <br />__ ._ ~~___ <br />I_ <br />~flesvitie Fee <br /> <br />~ •i~ <br />». <br />~ <br /> <br />- <br />flemrn tce~pi Snowing <br />lo Who e 6 <br />fletmn ceipl Snowing ip Wham. <br />Dale. an Otlressee's 4tltlress <br /> <br />' <br />TOTAL Pos a <br />B Fees ~ ~/ <br />Ponmark or Dale ` ~-~,.~ <br /> <br />fJ0 <br />O <br />O <br />o SENDER: <br />9 Complete hems 1 enNor 2 for additional aervicea. <br />I also wish t0 receive the <br />m .Complete items 3, ea, end 4b. following services (for an <br />m • Pdnl your name and address on the reverse of Ihia farm so Ihet we can return INa 6%tfa fee): ~~ <br /> <br />~ card to you. <br />•Mach this fans to the front of the mailpiece, or on the beck if space does not <br />f , ^ AddreSSBe'S AddreSS ~ <br />'2 <br />~ <br />y Permit. <br />• Wdte'Rerum Receipt Requested'on the mailpiera below the enicle number. <br />2. ^ RBSidcfed DBIiVery <br />y <br />« •lhe Return Receipt will Show to whom the snide wa6 delivered and the date <br />a <br />~ delivered. Consult postmaster for fee. <br />o <br />A <br />ddressed to: 4a. Artcle N tuber ~~ <br />1 <br />l <br />f <br />a <br />d ~ <br />~ <br />rv~ ~I 1 ti ~. `i <br />f <br />0 : . <br />E <br />°u ~ <br />r~ ~ ~ 4b. Service Type <br />^ Registered ^ Certified ~ <br /> <br />w <br />~ <br />.~.`~n ~\~'„t QI <br />I V ~ ~ <br />l v <br />l <br />U <br />^ 6cpress Mail ^ Insured ~ <br /> <br />01 <br /> ~ <br />., <br />( ^ ReNm Receipt for Merchandise ^ COD <br /> Q 7. Date of Delivery 8 <br /> a `' <br />T <br /> <br />~ 5. Received By: (Pont NemeJ 8. Addre ee's Address (Only it requested ~ <br />w and tee is paid) i <br />¢ F <br /> 6. Signature: ddrssee rAgen <br />r y <br />A <br />0 <br />Ps 1= 3811, ecem r tssa Domestic Return Receipt <br />