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iii iiiiiiiiiiiii iii <br />999 <br />SENDER: <br />v Complete items 7 endor 2 far additional services. I a150 wish W receive the <br />« .Complde deme s, aa, and nc. following services (for an <br />~ • PalMd; our name and atldress on We reverse of Nis torn so that we can velum this extra }9e): ai <br />~ •anaon w lone to the front of the mailpiece, a on the batlr it space Does not 1, ^ Adtlressee's Address <br />~ permit. ~ <br />y •Wnte•Refum ReceiptRequested'on the mailpiers Delew the edicts number. Q, ^ RBS}nCfed DeliVefy y <br />•The Relum Receipt will show Io whom the snide was delivered end the date <br />~ delivMaa. Consult postrnaster for lee. <br />~ /3y~~./q(A~dicle Addressed to:~. ~"" """" - ~ 4a. Article Number~~ ~¢ <br />o ~~ ~/J~Lj °i <br />E r ' ,;~, ~ ~I 4b. Service Type 8 <br />O l/ YN/r _ (nom <br />u ~ / ' ~ ~ ~ ^ Registeretl ~ertified <br />y ^ Express Mail ,•;°~ L ` ^ Insured <br />c ^ Retum Rece' fo? 'r r COD <br />c 7. Date of D iGE f f <br />a ~l 1 ~ ~ ~ <br />T <br />5. Received By: (Print Name) 8. Addresse A dres ly i re ested ~ <br />and lee is p 'd) y t <br />g 6. Signatur : ( r sseeorAgent) L~y'~~ ~ <br />o X <br />T ~ <br />0 <br />PS Forth 3811 r December 1994 <br />