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^• SE0.~ER: <br /> <br />9 • Complete items 1 and/or Z for atlditional services. I also wish to receive the <br />~ • Complete items 3, and 4a 8 b. }OlOwing Services Ifor an extra m <br />y Pint your name and address an the reverse of this for m so the< we can feel: <br />m return this card [o you. <br />m Attach this loan to the /root of the meilpiece, or on th <br />e back it space <br />1. ^ Addressee's Address m <br />N <br />r does not permit. <br />m Write "Return Receipt Requested" on the mailpieca below the article number. <br />r <br />2. ^ Restricted Delivery G <br />•m <br />• Tha Return Receipt wi11 show to whom the article was tleliverad and the date <br />c delivered. <br />Consult postmaster for tee. ,~ <br />m <br />Article Addressed [o: 4a. Article Number <br />m tirlekec r /+ e ~ <br />C (' r 74 16s ssy <br />o..A, Ov2* <br />E ~~~•VA~~p.y 4b <br />Service Type ~ <br />J . <br />e ~ <br />1 a9 <br />' ` ~~ 9 <br />m ^ Registered ^ Insured <br />5 <br /> ` ~•Certified ^ COD <br />w <br />g <br />CC7 $!4•t1? <br />P°/iOIVlA ^ Express Mail ^ Return Receipt far <br />Merchandise ~ <br /> <br />~ <br />Z I <br />7. Date of Deliveryc cc~~ <br />~~ / ~J ~ w <br /> t <br />~ 5. Signature IAddresseel 8. ,q~t7fessee's Address IONy~it requested <br /> <br />F <br />a d lee is paid) c <br />~ <br />W L <br />~ 6. ignature IAgentl f' <br />p <br />o ~1 ~ ~ ~. <br />T <br />= orm ,December 1991 V.S.G.P.O.: <br />t992-307-590 DOMESTIC RETURN RECEIPT <br />