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m SC`NDER: I also wish to receive the <br /> v •Complete items 1 anNor 21of additional services. <br /> n •ComplFae items 3,As,and 4b. r following services(tor an <br /> •Pdnt your name and address on the ravens of this form so that we can return this extra fee): <br /> `m card to you. 4i <br /> •Attach this form to the horn of the mailpiace,or on the back if space does not <br /> 1. ❑ Addressee's Address r <br /> permit. S <br /> •The Return Receipt <br /> Receipt RequeU show to 'onwho thee article below the eandnumber. p, Restricted Delivery of <br /> The Return Receipt will show to whom the enitle was tlaliveretl entl the date <br /> c delivered. Consult postinaster for fee. fi <br /> a Article Addressed to: 4e.A 'c19 Numper <br /> U1a� �ntot <br /> r^, J��� 11V_l Ul <br /> 4b.Service Type <br /> r°+ O , ` 1 ElRegistered ❑ Certified 2 <br /> ❑ Express Mail [I Insured Insured W <br /> ❑ Return Receipt for Merchandise p COD S <br /> Date of DeliveryJ^ �` <br /> -S. ec�eiv Snin ame) O y F r 8.Addressee's Address(Only if requested m <br /> t. and fee is paid) <br /> L <br /> f- <br /> g 6.SignFatu r ddre e9 or gent), <br /> JAL V,1V <br /> PS FoKn 3811, (ecemb flgs4 Domestic Return Receipt <br /> Z 416 952 497 <br /> _ _Ins <br /> D l,` ^ ^ rovidedW <br /> rQr,pa= ooa a or International Mai <br /> fSee Reverse) <br /> s m !J <br /> e N <br /> 0 Stake ao C <br /> C ` <br /> ca Pos ge <br /> CO <br /> E Cen,he❑Fee <br /> 0 <br /> LL <br /> SOenal Delivery Fee <br /> IL <br /> Return flat <br /> ow, <br /> It Who e De <br /> R¢iprn Recei 9 Who <br /> Deis.a ❑A❑ s ❑ a <br /> TOTAL wage <br /> a FeeS <br /> Postmark o Dan, <br /> �.✓ / <br /> I <br />