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I <br />", „ <br />• <br />• LENDER: WnPlen Itsrtn 1 and 2 wfrrr ddivonat wrvkw are dadrad, n <br />. Put Your addrm In tM "RETURN TO'• ~ O°~y0e Itwna 3 and 1. <br />card from 6elrp rentrned to You. The ratu~iacel t }ss~w 1~ arovlde Ilou tAe melof Ithe ~~ thw ' <br />dNNered To and the dots of dalHe or addklorr ea s o owlrq servl a ere mI e. neult <br />~un~ r ^ al for addltbnel eervkala) reQrrestW. <br />1. ~ Show to whom delivered, dare, aM addnoee's addraa. 2. ^ R n.r.~..,. <br />8 9V C/~ i ~t~v ~ ~ TYp. of ke: <br />. ~ Q Replaured Iraured <br />_' AlwaVa ob4in rrtun of tldreuse or <br />agent end DAT DELIVERED. ~ <br />5. Sgnawre - Addratna B. Addrewe's drew (O.NL Y if <br />X / r _ _ ~ requested a fee pord/ ~ <br />8. Slp -Ape _ I <br />X <br />of Del' ry .. _ •• <br />i <br />H6 Fmm 3&17. Feb. 19Ad i <br />-.trarm,-...s--,-~...~..,.,.~~-c.~..r.,-..~+--..~-,. ... -s-..,wr-,.-......- <br />, SENDER: Complete items 1 end Z when additional rrvirss sre desired, a complete Items 3 end 4. <br />Hut ynur eddreo In the "RETURN TO" tynce on the reverts Bide. Fellun to o this wpl prevent this <br />terd from beirrp rawrned to You. The redtm rer"i fee will reside ou the <br />dNiverad to and the dsre of delivery. or eddltbne o lowing <br />pottmester sor~'ieea ono cnecrc w rl for ddltlonel Mrvkale) nquened. rrro of the n <br />ere mdeb e. result <br />1. ^ Show to whom delivered, date, end addreuee's address. Z. ^ R icted DNivary. <br />3. ~le Addrsuedti <br />~ <br />, 4. Artlele Numb r <br />~ C <br />~~l1/~~~ <br />~,r /~ <br />~ ~ <br />6E~-s/" L~ <br />` <br />'u" <br />~~ TYW of Sa iea: <br />. <br />. <br />K. <br />. <br />U <br />3~ ~ ~~l asd <br />_ __ <br />~//~ ~ motif' b° <br />r ERpt'ea Ma6 8 con <br />~ <br />!(.[/s~1~ s ~i ~~~~ ~ ~ - ~ Always obtain mature oT addrease or <br /> pant and DAT DELIVERED. <br />5. Si nature - ressee S. Addrmsea i ms (ONLY if <br />x requtateda fee geld/ <br />a . ~enenuw. e <br /> <br />7. Dan of DMiver <br />~~ 3. <br />L Form 9811, Feh <br />.....Z ~ "~+M +. r.. <br />,. <br />:RETURN RECELHF ~ <br />