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<br />" SENDER: <br />m <br /> <br />;? Complete items 1 and/or Z }or additional services. I also wish to receive the <br />w • Complete items 3, and 4e 8 b. fOIlOW1ng eBIVICBe ff0r en Bxtre m <br />q • Print your name and eddrese on the reverse of this form ao that we can fBBI: <br /> <br />m return thic cartl to you. Z <br />n • Attach this form to the Irons of the meilpieca, or on the beck it apace 1. ^ AddrBSaeB'3 Address y <br />r does not permit. <br />m <br />" <br />" C <br />6 <br />Write <br />Return Receipt Requested <br />pn the meilpiete below the article number. <br />« 2. ^ Restricted Delivery •~ <br />• The Return Rateipt will chow to whom [he article was delivaretl antl the date <br />G delivaretl. COneUlt ostmaster for fee. m <br />v 3. Article Addressed to: 4a. Article Number <br /> <br />(err ~~ ~ ~° <br />, <br />E 4b. Service Type <br />ski <br />~i~ (iJK <br />~ ^ Registered ^ Insured <br />7 J <br />W <br />Certified ^ COD E <br />G~ ^ Express Mail ^ Return Receipt for ~ <br />/Il4~~P,(~ ~~ ~~~ p Merchandise o <br />7. Date of Delivery ." <br />~- ~ 3 0 <br />-> <br />5. i nature ddres 8. Addressee's Address (Only if requested x <br />and tee is paid) ~ <br />~ Grp m <br />-L <br />fr!timaturw IAmnfl / F"• <br />m P~Form :ikfl 1, December ~fj9f = U.S.G.P.0.:1992-307-530 DOMESTIC RETURN RECE.p'1" <br /> <br />