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n. <br />v SENDER: <br />q • Complete Items 1 andlor 2 for additional services. <br />m Complete items 3, and 4a 8 b <br />~ • Print Your name and address on the reverse of this lorm so that we Can <br />~ return this certl to you. <br />m Attach thrs Corm to the front of the marlpiece, or on the back it space <br />I L tloe5 not permit. <br />•• • Write "Return ReceiptRequested'"on the mailprece below the artrtle numbe <br />• The Return Recerpt will show to whom the article was deliveretl and the dat <br />~ deLveretl. <br />~ Article Addressed to: 4a. I <br />m ~~~ ~~~ <br />n <br />also wish to receive the <br />following services lfor an extra ~ <br />feel: '` <br />1. ^ Addressee's Address y <br />2. ^ Restricted Delivery •y <br />nsult postmaster for fee. m <br />//~ .,, ~ ~/ / 4b. Service Type <br />A C o~.lV l!' ^ Registered ^ Insured <br />N ~~,~'Lj~ ~ J ~ R~ n' ~ ~ ~ ~ ~ ^ Certified ^ COD <br />W U.~~t]/~^ -v+ n Express Mail ^ Return <br />Mercha <br />0 7. Dale of Delivery 9 <br />? 5. Signature (Addressee) 8. Addressee's Address 1 It <br />' ~ and tee is paid! <br />H <br />2 6. Sig [ure Agent / <br />O <br />L/C~f - <br />~s~ <br /> <br />rn <br />c <br />:eipt for ~ <br />se w <br />requested ,>< <br />c <br />to <br />f <br />H P orm 38 , De bar 1991 4U.s. GPO: 1Yp2-021~01 DDMESTIC RETURN RECEIPT <br />P 427. 47 ~5U <br />IS~pp„ I~p~/~ FIE MAIL <br />~~'es Ra ! NCE y ~ VLEU ~ <br />~IOi aRttti In <br />e 1 Ca <br />t ~ C <br />_ .. L <br />o ~. t to and ZlPC OP p, CZ~Q <br />\, U <br />u <br />H <br />5 4: <br />Q <br /> Postage <br /> ~: <br /> Cenilied Fee T' <br />(V <br /> Speaal Delivery Fee <br /> <br /> Restricted Delivery Fee <br /> <br /> Return R¢celPl 5howin9g <br />to whom ano Date Deiiveted~ <br />.., <br />N <br />Reurn Reoeipl s'* hOKrr <br />' ~ ~ <br />~ <br /> Dale. and'AQtlr sot elrve (n <br />c ' ~ ~. <br />TOTAL Postage and Fees C`7 <br />r. <br />~ <br />~ M <br /> <br />m <br />POelma(k or d e G :IJ~ Y <br />r <br />! <br /> <br />E ~' ~ <br />/ <br />~ :~_~_f ,~ <br />Q <br /> <br />6 __- _ <br />