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iiiiuiiiiiiiuiii <br />• Complete items 1 and/or 2 for additional services. I also wish to receive [he <br />• Complete items 3, and 4a & b. following services (for an extra <br />• Print your name and address on the reverse of this form so fee(: <br />that we can return this card to you. t. ^ gddressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back it space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ^ Restricted Delivery <br />3. Article Addressed to: 4a. Article Number <br />n~ ~Zol~f ~'>' ~a r ~~ ~ ~ , o ~ 3 ~2 <br />Y • ~ 4b. Service Type <br />~C'JC ~~'l~ /.~,C,V~ ((-~}y~ Jah U ^ Registered ^ Insured <br />/-/f C• /ni / ertified ^COD <br />3([JV (t' S C ~u d SC:k/Y ~I~ ^ Express Mail ^ Return Receipt for <br />t~ 2~, I Merchandise <br />D~Gtt,KL ~ U ~iG~(~ J l/ ~ Date of Delivery <br />~~ <br />5. Signature (Addressee) <br />6. <br />+u.s. mo: <br />RETURR RECEIPT <br />pe.~-~ ~ - -- - <br />File # P 733 429 <br />e i ed Mail Receipt <br />No Insurance Coverage Provided <br />p ~~ Do not use for Internefional Mail <br />~ ~.P.>~ (See Reverse) r <br />O <br />U <br />a`~ <br />o <br />Y/ <br />T <br />CV <br />C <br />(rC <br />C ~ <br />~ P. <br />t p <br />(n c <br />C'') <br />TQ <br />C7O <br />''r R <br />'v E <br />li <br />;tea <br />a <br />. . <br />sem m U r J. ( <br />Street 8 No. // // <br />~J ~ O ~. ~CC(S ' YfF ~T~'I <br />P ., Stale 8 ZIP Cptla <br />f,]9taQB <br />CenilieC Fee <br />Special Delivery Fee <br />Reslrictatl Dalivary Fee <br />Return Receipt Showing <br />b Whom 8 Data Deliveratl <br />Return Rateipt Showing to Whom, <br />Date, 8 btlrass of Delwery <br />TDrAL Posbge <br />8 Fees <br />Poetmarx or Dale <br />