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~ SENDER: I also wish to receive the <br /> <br />~ • Complete Hems t enNOr 2 for etltlaionel seMCea. <br />• Complete items 3, ba, and 4b. }OIOWIn services for an <br />9 <br />q • Pnnt your name eno aodress on Ne reverse of thls loan w Net we ran velum Nia extr8 feB): <br />Lr <br />o ~re to yon. <br />• Attach this form to the Irom of the mallpiece <br />or on Ne beck d apace does not <br />1. ^ Addressee's Address g <br />y , <br />pennit. <br />• Wrile 'Karam Receipt Requested'on Ne meilpiera below Ne ertiGe number. <br />2. ^ Restricted Delivery Z <br />O <br />y • The Relum Receipt will show W who ewes delweretl entl the tlete <br />delivered. F <br />Consult postmaster for fee. <br />~ <br />0 3. Article Addressed to: ~'~~` > 4a. Article N umber <br />v r ~~ Y <br />r ~ <br />G <br />tx <br />~ <br />E ~~ 11 LG~ r ~- <br />^ <br />A' <br />~~^/~n,il <br />~ 4b. Service Type <br />^ Registered ^ Certified <br />¢° <br /> ~O~ <br />O <br />f/ <br />l I <br />V I <br />, <br />`UI <br />- ^ Express Mail ^ Insuraf <br /> _ <br />I <br />n <br />^ <br />~ <br />~ <br /> r <br />i <br />-7 G ^ Retum Receipt for Merchandise ^ COD ~ <br /> C-~J <br />U 7. Date of Delivery <br /> <br /> 0 <br /> 5. Re ved By: (Print Name) <br />~ <br />~ <br />( <br />E B. Addressee's Address (Only i! requested <br />and tee is <br />aid) Y <br />a <br /> ( <br />~ <br />, <br />s p <br /> 6 <br />Si <br />t <br />A <br /> . <br />yr res e o <br />ant) <br />gneg <br />" <br />/ <br />> X <br /> Rs Form 381 ecember 1994 ,oss9see gone Domestic Return Receipt <br />