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r•. <br />0 <br />V <br />n <br />w <br />Y <br />Y <br />u <br />i <br />0 <br />n <br />Y <br />a <br />0 <br />v <br />•Complale items 1 anNOr 2 for additional wrvkas. <br />•Complete Items 3, 4a, one 4b. <br />•Pnnt your name end address on the reveres of This brm so that we tan ratum this <br />care to you. <br />• Adach this bon to the hoot of tha malpiece, or on the badr it space does nm <br />permit. <br />• W nte'Retum gecerpt Requested' an the mailpiece bebw the anise number. <br />•The Retum Rxeipt will show to whom the anise was delivered one Iha date <br />delivered. <br />5 <br />0 <br />r <br />M <br />Atltlressr~g to: <br />~j(,l ~ ``~ph(oo~~..~,il <br />1~~;~ ~~~3~~ <br />~'cf ~k~ - <br />~yI7 <br />PS Fom1~3B11, December <br />C <br />m <br />O <br />m <br />i'7 <br />LL <br />N <br />Q <br />4a. <br /> <br />^ Registered ~Cerfifietl <br />^ Express Mail ^ Insured <br />^ Retum Receipt for Merchandise ^ COD <br />7. Date of Delivery <br />i~ .~ . <br />and lee is paid) <br />- // <br />Z 13~ 086 622~U` <br />US Postal Service <br />Receipt for Certified Matl ~ ~ <br />No surance Coverage Provided. <br />Don t use for Intema ail Mail See reverse .:.. <br />t <br />SI a 8,AG4m <br />~j ----1 <br />/ <br /> <br />P ' / <br />r `Y <br />Postage ,~ <br />Cerfifietl Fee <br />Spedal Delivery Fee <br />Restdded Delivery Fee <br />~. <br />Relum Receipt Strowmg to <br />Whom 8 Date DeGvared ~~ }a\' ~ l'+r, <br />"^°~.. ~ rt <br />Realm Rxmpt Slmrslg to <br />Date, 8 Pddressw's Pddr ~ ~' <br />1 ~ <br />TOTAL Postage d Fees $ ~ S " <br />Podmadc or Date <br />I also wish to receive the <br />following services (for an <br />extra tee): <br />1. ^ Addressee's Address <br />2. ^ Restdaed Delivery <br />Consult postmaster for fee. <br />(.~ <br />W <br />fD <br />f37 <br />77 <br />3 <br />N <br />r <br />m <br />G <br />(_~ <br />}~ <br />Q <br />O <br />rY <br />u <br />.~ <br />N <br />.u <br />Y <br />Q <br />m <br />c <br />~N <br />o' <br />T <br />Y <br />C <br />r <br />F <br />