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111IIIIN{IIIIIIIII <br />~. <br />m SENDER: <br /> <br />• Complete items 11Mlor 2 for edtlllional services. <br />N <br />~~ <br /> <br /> <br />81s0 wish t0 receive the <br />m Complete items 3, end 4a 8 b. .. fOllOwing ServlCes (for an a%tfd V <br />• Print your name and address on the reverse of this form so that w¢ can feel > <br />m return this cartl to you. <br />• Attach Chia form to the from of the mailpiace <br />or on the back i! space <br />1. ^ Addressee's Address <br />y <br />, <br />m does not permit. .- <br />L Wri[e'Return Feceipt Fteques[ed"on the mailpiec¢below the article number <br />. 2 ^ Restricted Delivery <br />G <br />m <br />• The Return Hecaipt will show to whom the article was delivered end the date ' <br />e delivered. Consult postmaster for fee. m <br />~ 3. Article Addressed to: 4a. Article Number <br />m <br />R•~c.~ I(Vl ~ l(~ <br />a Sa ~ Y6 <br />46. Service Typ,O " m <br />~w~•~ m~`` ~~~ ^ Registered ^ Insured ~ <br />6 ((~ Certified ^ COD 5 <br />O~ L s b VGA ,1~ Return Receipt for ~ <br />w ~ `"fir v ~ ~ a~ - ^ Express Mail ^ <br />O~ ~ /• - O~U67. Mer handise <br />O C,~~~ 1..C7 Ot.~ 1 7. Date of Deliv ry ~ ° ' <br />5. Signature (Addressee) 8. Address e's Address (Only if requested x <br />~ and fee is paid) ~ <br />~ F <br />~ 6. Signa[ur Agin <br />PS Form ,December 7907 ,w.6;ovY:~a~-~eaaWt 'ryD w¢YUR(Y REC~PT <br />