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~. <br />v SENDER:, <br />'q • Complete items 1 andlor 2 for edtlitiona services. <br />y Complete items 3, and 4a & b. <br />• Pr,nt your name and atltlress on the reverse of this form so that we can: <br />~ m(urn [hs card to you. ', <br />m Attach this loan to the front of the mailpiece, or on fie bask'. it space <br />does not permit. <br />L Write "Return Receipt Reouestetl" on the mailpiece below the art,cle number <br />• The Return Receipt will show to whom [he article was del~veied and the date <br />G delivered. <br />v 3. Article Addressed to: ~ 4a. Ar' <br />m Mr.Z.~I.UCtnI-10tH <br />I also wish to receive the <br />following services Ifor an extra <br />feel: <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />46. Service Type <br />p Gt~~~ M I ~{'~t;~ ~'A~ ^,~, ~Registered ^ Insured <br />y X754 Com~SS~~ ~ 5-~e~ LN'Certified ^ COD <br />wQ C~~cl ~u~~---h O(.~ y ~~ ~ ICJ~~ ^ Express Mail ^ Return Receipt for <br />C 7. Date of Deliver <br />O <br />Q <br />5. Signature (Addressee) 8. Addressee's Ad <br />~ and fee is paldl <br />IUnly it <br />F- <br />6. Sig ture 1 erntl <br />0 <br />~' RS Form 11, December 1991 nu.s.cao:tcuz~zarat DOMESTIC RETURN RECEIPT <br />N <br />b <br />.Y <br />N <br />6 <br />'o <br />V <br />G <br />E <br />m <br />a <br />c <br />.' <br />w <br />0 <br />Y <br />A <br />H I <br />