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' ^' SENDER: <br />o I also wish to receive the <br />C • Complete items 1 entl/or Z for additional services. <br />~ Complete items 3, •ntl 4e d b. (ollOwing services Ifor an extra <br />m • Print your name and address on the reverse of this form so that we can <br />m return this care to vou. feel: ~~ <br />> Attach this form to the rront of the meilpiece. or on the back .t space 1. ^ Addressee's Address m <br />m does not permit. fA <br />L • Write"Return Receipt Repuested"an the mailpiece below the article number. 2 ^ Restricted DBlivery 11 <br />• The Return Receipt will show to wham the article was tlelivered end the date V <br />eo delrveretl. Consul[ ostmaster for fee. o <br />v 3. Article Addressed to: 4a. Article Number ~ <br />$ L,~ E <br />INTR. S~I„r. T~ <br />~+~ 46. Service Type <br />,~(~, EA1VIRdoNMl M~~ ~`• ^ Registered ^ Insures ~ <br />/ 1 Certified ^ COD 5 <br />W Ca~~~o C°A ` ~~ ^ Express Mail ^ Return Receipt for 7 <br />~ ~ Merchandise <br />~ 573 ~ s t~ ~WL 7. Date De~very •°~ <br />Z Ma.•.k..K Gn 8~6 <br />¢ to resseel 8. Ad res e's Address (Only if requested x <br />F an fe is paid) o . <br />W L <br />R 6. Signature (Age tl /J ~ <br />o 7B/ <br />m PS Form 3 11, December 1991 4~U.e.G.P.0.:1992-30]-530 DOMESTIC RETURN RECEIPT <br />