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m SENDEA: ' <br />o •Carnpteie hems r anNor Y for adbitlonel eervkea. I also wish to receive the <br />'w •COmyere items s, ae, and an. tdbwing services (fora <br />m •PnM your none erM address on the reverse of this form eo that we can rerum this Bxtra 10B <br />cartl to you. ~ m <br />~ •Attach Nis form to the hoot of the mailpiece, or on Ifq betl~ if space does nor t, ^ Addressee's Address <br />~ •Write~'Refum Recgipf R uesfed'an the maspiece Eekw Me article numGer. t <br />ry° .me Rerum Receipt win~ow ro wram Me ertide was demrered end me dare 2. ~ Restricted Delivery r9i <br />e deli~eree. Consult postmaster for fee. .~ <br />~ 3. Article Addressed to: 4a. Artice Number <br />v 37~ 208 <br />a G~ ~. ~,~su-sue. <br />E ~ 4b. ervice Type ~ <br />0 0 <br />u ~~~ lyytLL CmrnQ~ ^ Registered Certified <br />m ~o-al ~~-~ ^ Express Mail ^ Insured 5 <br />a <br />1 ~ $~y$~ ^ ReNmReceiptforMerahandise ^ COD ~ <br />w ~a AXt r ~~ 7. Date of elivery -° <br />_ ~= /0-x'7 ' <br />a <br />~ 5. eceived 8y: [Qri ame) 8. Addressee's Address (Only if requested ~ <br />~f O ~n,1 ~~/ and fee is paid) 2 <br />g 6. Si a: (Addres ee orA nf) F <br />.~ ~ ~.i ~ <br />A <br />PS Fo/m 3E71. December lssa Domestic Return Receipt <br />