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<br />v SENDER: <br />'y • Complete items 1 andlor ]for additional services. <br />~ • Complete items 3, and 4a & b. <br />• Print your name antl address on the reverse of this Corm so that we can <br />m return this card to you. <br />~ Attach this form to the Iront of the mailpiece, or on the back if space <br />m <br />does not permit. <br />rp • Write "Return Receipt Requested" on the mailpiece below the article number <br />.t, <br />• The fleturn Receipt will show [o whom the article was delivered and the date <br />~ delivered. <br />v 3. Article Addressed to: 4a. An <br />' (~ ~ <br />m <br />a ~err~~, I~av,s iv` 46. Se <br />E <br />I also wish to receive the <br />following services Ifor an extra <br />feel: '> , <br />1. ^ Addressee's Address N <br />2. ^ Restricted Delivery •~ <br />Consult postmaster for fee. a~i <br /> <br />~S ~soS <br /> <br /> <br />^ Insured d <br />^ COD <br />c <br />~ <br />^ Return Receipt for ~ <br />Merchandise w , <br />N 1 0 1994 ; ; <br /> T <br />dress (Only if requested x <br /> c <br />t <br /> H <br />c (~,0. 2 ~ 1 ~ci+^ V ^ Registered <br />v f ~J O'er` Y ~~JJ ®Certified <br />y ~ ! l~QSI~ K how <br />w "'i /' ~ n - ^ Express Mail <br />OQ ~hVeC ~W ~~~~~ 7. Date of Deliv~if <br />a fl <br />~ 5. Signature IAddresseel 6. Addressee's Ad <br />and fee is paid) <br />H <br />~ 6. i ture 1 n[ <br />o ~ ~ s <br />a PS Farm 11, December 1 nU.S. GPG:1 ~a+ox DOMESTIC RETURN RECEIPT <br />P 296 525 ,805 <br />Receipt fo _ L, si ~?~~ <br />c~ Certified ~al "`~i <br />~ No Insurance Coverage Provided <br />N Do not use for International Mail <br />O~ <br />