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;; SENDER: <br />v •COmplete items t anaor 2 for additional cervices. I also wish to receive the <br />~ •Complete items 3, 4a, end ID. (OIOWIng SerVlCea (fOr an <br />m • Pdm your name end etltlresa on the reverse of this brm so That we can return this extra fee <br />wrd to you. ~ d <br />o •AttamC; this form to the hoot of the mailpiece, or on the back if space tloes not ~, ^ Addressee's Address <br />•Wn'te'Refum Recei t R uesfed'an the mail lets below the article number. ~ <br />$ •The Relum Receiptt vnll~ow to whom the arl'iCe was delivered antl tha tlate 2. ^ Restricted Delivery y <br />e tleliveree. Consult postmaster for fee. u <br />0 3. le Addressed to: _ 4a. Article Number u <br />_ z. s98 6 <br />a <br />E ~//~/,s~O'-~ ~ / / 4b. Service Type <br />°u -r ~ Registered Certified <br />N ~ <br />f ^ Express Mail ^ Insured m <br />~~`-~/~~.,/ ~ ^ Return Receipt for Melchandse ^ COD ~ <br />~~p „~ 7. Date of Delivery <br />~/~ /,( ~ <br />5. Received By: (Print ame) 8. Addressee's Address (Only it requested ~ <br />and lee is paid) i <br />f <br />6. Signatu (Addressee or Ag of <br />r X mLy ~~ <br />Ps~rjli 3811, December tssa Domestic Return Receipt <br /> <br />