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~. <br />v SENDER: <br />ar Complete items tend/or 2 for edtlitional services. 1 also wish to receive the <br />m • Complece trams 3, and as & b. following services (for an extra <br />w • Print your name and address on the reverse of this form so [he[ we Can teal: <br />O return this cartl to you. <br />i • Attach Inis farm [0 the front of [he ma~lp~ece, or on the Deck if space 1 . ^ Addressee's Address <br />~joas not permit. <br />~ • Write "Return Recei tRe uestad"on the mail iece below the article number. <br />p n p 2. ^ Restricted Delivery <br />• The Return RecB~pl will show to whom the enicle was delivered entl [he date <br />o aeiivared. Consult postmaster for tee. <br />a 3. Article Addressed to: 4 Article Number <br />m <br />E ~~ ~S ~~~f ~ufr~ 4b. Service Type <br />^ R tared <br />^ Insured <br />p <br />yI I, ~ r,~ <br />~ ~„2/'j O N. ~rrb ~ n °~ / Certitied ^ COD <br />WI ~ / r /J ~ /) (~ S yq <br />Lr <br />(,JQ~ <br />/ <br />,t,. 7~ <br />~ <br />o <br />/ ^ Express Mail ^ eipt for <br />G <br />l ~ <br />// <br />~~ <br />// <br />/ <br />/ 7. Date of Deliver <br />a ~~ <br />// <br />~~ // <br />/ <br />~~j <br />./~/O/r <br />~ 2 /KIAaZCi~~ Y <br />s 5. Signature (Ad esseei 8. Addressee's ~ ss IOr~y if re ed <br />F and fee is pa[ {IJM ;n1 <br />6. Signature (Agent) O~ U^1~ a\ <br />~ NO i9 <br />0 <br />> S rm 11, December 199i Qu.s.dro:trano-asxata DOMESTIC RETURN RECEIPT <br />- - ., <br />P' 'c~[: 60B k l~b <br />1 - Receiptff '~ ~ /~ ~, <br />c~ ~ Certified~~ail <br />No Insurance Coverage Provided <br />~ ~ Do not use for International Mail <br />(See R vets _ <br />C~ Se i[o r. ~/ <br />~ J~ ~O ~SJ'trt'~ <br />O S~ieei ono r/o <br />;.~ /a~3o <br />~ ; O . State and Zrp Code <br />o, ~ •~ ~'. ~s yq <br />Postage <br />~~ ~1c s <br />N Ceini~ea Fee ~r~l~C ~~ <br />Soecai peiwerv Feet <br />Q <br />pesinneo Delrverv e <br />C <br />e [n AGce~ot Snowing <br />Rewrn Rece~p[ Snowing io w _ <br />Dale, antl Addre55ee's a ~ / ~ <br />7 ~ • v' <br />~ TOiat Postage w <br />~~ B F=es <br />C~ postmark or <br />r~ Date ~~~~~ <br />s~Ur7 <br />m <br />U <br />.~ <br />N <br />n <br />.~ <br />6 <br />E <br />r <br />rn <br />c^ <br />.N <br />w <br />7 <br />O <br />T <br />Y <br />c <br />L <br />H <br />