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SENDER: <br />9 • CompletB items 1 enNOrY for etldllional 6BrviCe6. <br />' <br />I also Wlsh t0 rBCBiVa the <br />e •Complete items 3, 4a, and bb. fOIIOWing SerVIGeS (fOf an <br />~ nema end atltlress on Ne reverse of this brm eo that we un velum this <br />ur <br />• BMra fBe): Y <br />j t <br />rs d ro <br />•Attech tA~"Ia loan to the hoot of the meilpiem, or on the beck tl apace does rwl t. ^ Addressee's Address <br />n •W~'Aefum Receipt Requested' on the medpiecB below the aretle number p. ~ RBStdcted DBIIVery rrrTTTk»i <br />Cr <br />~ •The Ration Receipt will show to wfwm Ne erode was deliveretl and the tlala <br />dellveretl. <br />Consult postmaster for tee. <br />o <br />v 3. Article Addressed to: 4a. Artcle Number o <br />o ~-(. LunbeM~ ~ -~-111o gy "~ <br />o M+M tLecdy ~lvrc Cbner~~t-e; 4b. Service Type m <br />u <br />~r~2 Q~" <br />q 3 ~ ~ ~ ~ t't" ^ Registered ^ Certified <br />5 <br /> ^ Express Mail ^ Insuretl <br /> ff..~~ <br />C,~ 7J (rip 3 ~ <br />Q 1'2p1,.2 ^ Refum Receipt for Merchandise ^ COD ~ <br /> y 7. Date 'very <br /> _ ~ r r <br />_ <br /> 5. R 'ved ey: (Print Name) 8. Addre se's Atldress (Only it requested ~ <br /> and lee !s paid) c <br /> I- <br />g . Signa r : ( dresses or Agent) <br />r v <br />A <br />e Fo 3811, December 1994 Domestic Retum Receipt <br /> <br />__ Z _ 6 ~4 48Q <br />Re e~p D~~'-`>~- <br />Ce~~~ Mail 7g_p~ <br />~~ No Insurance Coverage Provided <br />o.~., L..e Do not use for International Mail <br />~ fSee Reversal <br />s i to L <br />m 4 4c , <br />~ sVeer anC qo (~ <br />1G 3 ~ jtt -' <br />O , Staie ana ZIP Cotle E ~~ 4 <br />o g i <br />~ Postage ~ <br />Cevl~lgd Fee ~ <br />O <br />R speuai Deevery Fee <br />Fqe <br />ro Whpm $ Oate Delrve ptl <br />flewm geceiot snowing to Wni <br />Dale, antl Atltl~e55ee's Atltlre55 <br />TOTAL Postage <br />d Fees i-+ <br />'oamark oror n,te <br />~~ h <br />