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~.~ -- <br />- ~ <br />"SENDER: <br />•6oniptM• fAarn• 1 eMr« 2 ror adaxi«W sarsicee. <br />I also wish to receive Ne <br />° •Complele items a, aa, end ab. following services (tor an <br />w •idrx yo« name and address on the rsverse of This loan so Thal we can rerun this extra t96): <br />•Attach this lortn to the Iron of tM ma7lpien, or on the Dack it span does rwt 1. (~ AddrBSSBB's Address <br />part~9]xxt. <br />° •Wrlle'Ferum Renipr Requesred'on the mailpiece bebw the article cumber. <br />2.~RBStdCtad DeliVBry <br />y <br />.~ •ihe Rerun Receipt will shew to whom the anitlB was tlefivered antl the date a <br />~ deliv«ee. Consult postrnaster for tee. <br />° <br />o <br />3. Article Addressed to: 4a. Article Nu; ber ~ ~~~ <br />~ <br />~~ OW <br />r' e <br />, <br />~y~ ~ n_~ ` ' <br />t~~~ <br />` 4b. Service T ype <br />. <br />~+~ K.A~ <br />&• <br />" ^ Registere d Cert)fied <br /> <br />p O~ y <br />t <br />~~ <br />^ Express <br />$d8n Insured ~ <br /> <br />(y~' •_ _ _ AA ,~,, N, ' ` <br />~~ <br />^ Retum <br />r ~se COD ° <br />~ <br />W <br />`~d D ~ <br /> 7. <br />ate o ery <br />9 <br /> T <br />5. Received By: (Pdnt Name) 8. Addres (O equesfed ~ <br /> and fee a' <br />~ , ~~ ° <br />~ <br />g 6. Signature (Addre or Ag ) <br />° <br />J( ~, <br />a <br />. <br />R Fan 3811, Deoernber 7994 o WC Retum BCA' <br />r <br />P 213 J51 553 <br />S e <br />~ <br />~ <br />C <br />rtified Mail <br />C <br />e~ '_ <br />e <br />SV <br />~I Coverage Provided. <br />id~ <br />~ <br />F~"Do not use for Intematlonal Mail See reverse ~ <br />I ID C ~ <br />7 ~ <br />a (.: <br />A ~ 7 <br /> <br />Office. Slate, Coda Q [D <br />Postage ~ ~ , 7 <br />Catifietl ee ~ <br />3 <br />Spedal N <br /> <br />pm7daedD ~~•-•_ <br />.: ... <br />~ <br />N <br />~ Retum HxePt v <br />(D <br />Wllern d Dale DaG~•re0 ~ <br />aelxn aeCep SM+iq bwlidc <br />' <br />$ < <br />~ <br />s Addess <br />Dak,6Mfesee <br />8 70TAL Postage 5 Fees <br />~ PaMark or Data <br />o O <br />LL N <br />y <br />a O <br />ca <br />