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<br />m Ne ,- . <br />'N Complete items 1 and/or 2 for adtlitional services. <br />e • Compk:te items 3, and 4a & b. <br />~ • Print your name and address on the reverse of this loan so uwt we can <br />o return ttws card to you. <br />~ • AttazA this form to tfle front of trro mailpiece, or on the back If cpace <br />=O does not permit. <br />i • Write "Ratum ReceiptRequested"on themeilpiece below theeniclenumber <br />• Tree Relum Receipt will show to whom the enicle was delivered and the tlate <br />O deliv red. <br />a 3. Article Addressed to: 4a. Arl <br />0 <br />,t!jrr tJ iw.~f. Er+E r~mTi~o~nJ / n / y, <br />/Pf/S S t~~ /oe.unSbhO' /'~~~. 4b. Sel <br />I also wish to rl~rCive the <br />following services (tor an rbxtsa Y <br />feel: 2 <br />1. ^ Addressee's Address ~ <br />2. ^ Restricted D¢liuery o <br />Consult postmaster for tee. m <br />to Number ~ <br />~ s~3 / 99 <br />u ° //•1 ~ rv^r Registered <br />yl /Yfp.~a7/'OSf CO~r2dD ~~~0/ p~ Certified <br />uNl ^ Express Nail <br /> <br />8. Addressee's <br />and ee is p. <br />m <br />^ Insured ~ <br />^ COD e <br />~ Return Receipt for ~ <br />Merchandi e <br />0 <br />v <br />0 <br />0 <br />T <br />1~ress 1 y if requested x <br />I e <br />L <br />F <br /> <br />