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iii iiiiiiiiiiiiiii <br />^' SENDER: <br />o I also wish to receive the <br />V • Complete items 1 and/or 2 for atlditional services. <br />v+ Complete items 3. antl 4a d b. (OIIOWing services Ifor an extra <br />y Print your name and address on the reverse of this form so that we can teal: <br />i return this card to you, <br />m • Attach this form to the Iron[ of the mailpiace, or on the back if space 1. ^ Addressee's Address <br />~ does not permit. <br />C • Write"Return Receipt Repuestetl"on the meilpiece below the ertcle number. <br />« • The Return Receipt will show to whom the article was delivered end the date 2. ~ Restricted Delivery <br />c aeliverea. Consult ostmaster for fee. <br />9 3. Article Addressed to: , 4a. Article Number <br />a Uv1tt , I/V1gIC~.vs rn t o ole~'orv t ~}$ (66 !33 <br />` ~ ~ ~ 4b. Service Type <br />~j~„~Q~./mt ~t A ~ON N ^ Registered ^ Insured <br />to (US ('~ ~p .}y //\ !}V ~CertifiBd ^ COD <br />w ~~ s g~ T~OV+} '"UtV1Cf r~"`GC~ ^ Express Mail ^ Return Receipt for <br />~~ L n~__ C t Merc andise <br />0 1r LAKP.• O ~OY67 7, Date of Delive _ <br />and fee is paid) <br />¢1 6 <br />0 <br />PS Form <br />....:b _._ . .... <br />• <br />O <br />.Y <br />m <br />H <br />n <br />.~ <br />m <br />E <br />m <br />.' <br />f <br />0 <br />Y <br />C <br />m <br />t <br />f- <br />