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• Complete items 1 and/or 2 for additional services. I also wish to receive the <br />• Complete items 3, and 4a & b. following services Ifor an extra <br />• Print your name and address on the reverse of this form so feel: <br />that we can return this card to you. 7. ^ gddressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back if space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece next to 2. ^ Restricted Delivery <br />the article number. Consult postmaster for fee. <br />3. Article Addressed to: 4a. Article Number <br />~~ 12D,.~c 3 ix,;c (GD <br />~4-C~cJ.S~ S~r~ LC7 <br />r, Srry~ <br />7~~ ~ / S <br />4b. Service Type <br />^ Registered rx ~^ Insured <br />~Certitie~ "' ^ COD <br />^ Expresst lNail ^ Refurr, Receipt for <br />5. <br />R. <br />ee's/Address (Only iT requested <br />is paidl <br />PS Form 3971, October 1990 trU.S. GP0:1ef1((H2)3aet DOMESTIC RETURN RECEIPT <br />