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m SENDER: <br />$ • Complete items 1 endlar Z far etlditional services. <br />~ • Complete items 3, antl 4e 6 b. <br />ymj • Print Your name and address on the reverce of this form so that we can <br />Y return this card to you. <br />m • Attach this form to the front of the mailpiece, or on the beck it space <br />r dose not permit. <br />fp • Write"Return Receipt Repuestetl"on [ha meilpiero bebwthe erticb rwmber <br />~ • The Return Receipt will show to whom the article was delivered end the data <br />G deliveretl. <br />a 3. Art1icle Addressed/`to: (~ 4a. Art <br />E CO l0 W l1 O ~00~ CO 4b. Sel <br />I also wish to receive the <br />following services Ifor an extra St <br />fee): 2 <br />1. ^ Addressee's Address H <br />2. ^ Restricted Delivery •m <br />c ~Y~ ^ Registered <br />o ~ " ~ l ~~ r/••~ls+ ~ " t\J~~ (,) ~ ~ Certifietl <br />N <br />N y/~ ` <br />W I I tQ, h~~e/_\. ~~ 8(`j Y~ ^ Express Mail <br />r <br />~ 7. Date <br />D <br />a ~- - <br />~ 5. Signature (Addressee) 8. Add <br />~ and <br />W f !v r <br />6. Signature IA anti <br />0 <br />is paid) <br />ostmaster for fee. u <br /> t>: <br /> <br />6 a3~ c <br />^ Insured <br />^ COD 5 <br />^ Return Receipt for ~ - <br />Merchandise <br /> w. <br />r <br /> o~ <br /> <br />ress 1 my if requested ~r <br /> m <br /> <br /> <br /> f <br />= PS Form 1 ,December 7997 # U.S.G.P. .:19a230]-530 DOMESTIC RETURN RECEIPT <br />