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d SENDER: I also wish to receive the <br />9 <br />N •Complete llemst anNOr 2lor adtlitional serviws' <br />•Complete items 3, 4a, and 4b. (elOWl^ SBfVICBS fer an <br />g ( <br />0 • Print yam name and address on the reverse of this form so That we can return this a%tra fee): <br /> <br />rv card to you. <br />• Attach 1h15 form to the front of the mailpieca. or on Ihe'back d space does not <br />1. ^ Addressee's Address ~ <br /> permit. <br />• Wnte 'ReNrn Rece~pr Requested"on the mailpiece below the article number <br />2. ^ Restdcfetl Delivery <br /> •The Relum Receipt will show ro whom the addle waz delivered antl the dale <br />C <br />t <br />lt <br />t <br />t <br />f <br /> delivered. onsu <br />er <br />pos <br />mas <br />or <br />ee. a <br />0 3. Article Addressed to: 4a. ArLCIe N mt <br />a 4b. Service Type <br />~~ / r~• J/{rl~jL VW'~ ^ Registered <br />! r~ fy ~ ~6~ ^ Express Mail <br />l%U ^ Refurn Recepp! <br />7. Dale of Delive <br />5. Received By: (Print Name) <br />and tee is paid)\ <br />~'n - <br />5 <br />0 <br />T . <br />~ F <br /> <br />~~ <br />Certified °1 <br />red ~ <br />N ~ <br />7 <br />f <br />~~~ o <br />~gyeste r <br />~ c <br />9~' ~ <br />p Receipt <br />