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^ SENDER; <br />o <br /> <br />• Complete items 1 antllor 2 ror additional services. I also wish to receive the <br />~ • Complete items 3. and 4e & b. fOIIOWmg Services (for en a%tr8 O <br />~ <br />T • print your name antl etltlress on the reverse of this form so that wa can tee <br />I <br />i r¢tum this card ip you. <br />> • Attach this fomr to the front of the meilpiace. or on the becN it space t. ^ Addressee's Address (A <br />~ tloes not permit. <br />w <br />_ • Write"Return Receipt Requested"on the meilpiace below the ert ick number. 2. ~ RestitCted Delivery G <br />• The P¢turn Receipt will show to whom the article was delivered antl iha dare <br />t <br />delwered. <br />COnSUIi pOetmBater f0! fee. Y <br />9 <br />C <br />0 3. Article Addressed to: 4a. Article Numher ~ <br />m Gam. 5,..-~.,~r g ©a <br />6 _/ <br />~ <br />ey ~sr4 T.et1 <br />~N ~O~ 46. Service Type <br />^ Registered ^ Insurers <br />~ <br />~ <br />y <br />w <br />~~ <br />~ •~Cettitietl ^ COD U .5 <br />r <br />ir ~ 3~?~ C Express Mail ^ Return Receipt for ~ <br />¢ Merchandise <br />o <br />Q ~ pOY~Q ::' ~ <br />~Al~'^i~ ~~ Date of Del(very <br /> ) c <br /> <br /> <br />~ <br />5. Sign ure (A ressee) T <br />B. Addressee's Address (Only ii requested x <br />and fee is paidt m <br /> ~ <br /> (Agents <br />6. Signa ~ <br /> <br />a <br />n PS Form 3!371, December t991 :: U.S.GP.0..1992~3ar-530 DOMESTIC RETURN RECEIPT <br />