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~o P-179 166 476 <br />$ Rec~gscFor SSS <br />Cer~ffe M I c <br />0 ~~ No In ~fgn <br />` ~,,, Q•~ Do not use forr lnternat <br />> ISee Reverse) <br />.- Seni ~o - <br />no No <br />ve antl Z:P C <br />7171 HrJ <br />Fee ~ <br />ieimery Fee <br />Return eeceipi Snowing <br />io Whom B Daie Deimeratl <br />Return fle[e~p~ Snowing m Wmm~, <br />Dale, antl Aneressee s Atlnress <br />TDTAL Poaiage <br />B Fees <br />Po5lmark or Dale <br />E <br />0 <br />LL <br />N <br />ll <br />u•.nve.n. <br />• Complete items 1 end/or Z for additional services. <br />I also wish to feceive [he <br />• ComDlate items 3, end 4e & b. following services Itor an extra <br />• Print your name end address on the reverse of this farm ao that we can fBBi: <br />return this card to you. <br />• Attach this corm to the front al the mellpiece, ar on the beck if epec• <br />1. ^ AddressBB~s AddrBS9 <br />does not permit. - <br />• Write"Ra[um Racaipt Reaueet•d"on the meilDleee below the ertlcla number. 2 ^ RBStricted DBIIVery <br />• The Re[urn Receipt Fee will provide you the signstura of the peredn delivers <br />to end [he date of delivery. COnsUlt OStmBStBr for feB. <br />3. Article Addressed to: 4a. Article Number <br /> P i7q l~ `f7 <br />Qea/' t~a4 / CD, 4b. Service Type <br /> ^ Registered ^ Insured <br />P. ~ QoX 5 (ff Certified ^ COD <br />/' 7 <br />SP~ C ~ ~~Y <br />~ <br />SO~'R ^ Express Mail ^ Return Receipt for <br />March ndise <br />l <br />- <br />~ <br />/ 7. Date of Delivery <br />_ i9 -9~ <br />end fee is paid) <br />RETURN RECEIPT <br />