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• Complete items 1 and/or 2 for additional services. I also wish to receive the <br />• Complete items 3, and 4a 8 b. following services (for an extra <br />• Print your name and address on the reverse of this form so feel: <br />that we can return this card [o you. <br />• Attach this form to the front of the mailpiece, or on the 1. ^ Addressee's Address <br />back if space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece nett to 2. ^ Restricted Delivery <br />the article number. Consult postmaster for fee. <br />i. Ar[ICIe Atltlressetl to: <br />.~Pa/9//v/! SaM~~o/o I/r/ C p, <br />.~P~1dP/~ Go 8' oi?/6 <br />6. <br /> <br />f <br />I~ <br />.~ <br />^ <br />R <br />egistered ^ Insured <br />,, <br />/ <br />L7 l:ertified ^ COD <br />^ Express Mail ^ Return Receipt for <br /> Merchandise <br />7. Date of Delivervl n~~ <br />and fee is Idl' ;,"I <br />L % <br />l <br />1 vbt~ / <br />U-, ~. ~. •. • i <br />October 1990 ou.s. cPO: teso-x~aeet <br />L~D'~gP 880 733 382 <br />.~~g~Certified Mail Receipt <br />Ch No Insurance Coverage Provided <br />N ~ Do not use for International Mail <br />0 ,~,;,,,;,;a (See Reverse) <br />4 Sent io ~~ ~ ~. ~!`/~i~i`.f. <br />O C <br /> Street 6 No. <br />y OG <br />~ P.O.. State 8 ZIP Cote r~ <br />~ ~ .~~ <br /> <br /> Pottage <br />ri <br /> Cen~nea Pee <br />V !• ~` <br />nU <br />E Speciel Delivery <br /> <br /> ResiricleC Dal O <br /> <br /> Rarum Receipt <br />! <br />-) <br />G,; io Wnom 6 Date enw <br />r <br />, <br />. Return Receipt Sh io Wham. <br /> Dale, 8 AtlEresa of Deli <br />,~J~ TOfAL Postage ~i ~~ <br /> 8 Peas •~ <br /> Pmlmerk or Da1B <br /> <br /> <br /> C <br />