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<br /> <br />~. <br />m SENDER: <br />y Complete items 1 and/or 2 for additional services I also wish to receive the <br />N • Complete items 3, antl 4a & b (OIOWIng aerVlCee Ifor an„~xtra ~ <br />~ • Print your name antl address on [he reverse of this form so that we can 1 <br />teal • <br /> <br />m return this cartl to you. <br />• Attach this form to the front of the meilp~ece, or on the back it space <br />' <br />1. ^ Addressee's Address ` <br /> <br />y <br />does not permit <br /> <br />m • Write "Return Receipt Requested" on the mailpiece below the article number. <br /> <br />2. ^ Restricted Delivery ~ <br />6 <br />• The Return Receipt will show to whom the enicle was deliver ed antl the dale U <br />c delivered. Consul[ ostmastar for fee. p <br />v 3. Article Addressed to: 4a. rticle Num er <br /> <br /> <br />E MR T EDWARD BENSON 4b. Service Type <br /> <br />^ Registered ^ Insured ~ <br />~ <br />~ <br />BENSON BROTHERS rtified ^ COD ~ <br />w <br />rn <br />W 2138 J50 ROAD <br />^ Express Mail ^ Return Receipt for '~+ <br />~ <br />~ AUSTIN CO 81410 Merchandise <br />~ <br />D 7. Date of Delivery r <br /> <br />a <br />l r7 - - ~ <br />o <br />~ 5. Signature IAddresseel 8. Addressee's A dress (Only if requested Y <br />~ and fee is paid) ~ <br />~ L <br />~ 6. Sign to ( gent . T h <br />7 <br />O <br />PS For 11, D camber 1991 .u.e.oPO:+--- --- DOMESTIC RETURN RECEIPT <br />