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o SENDER: I also wish to receive the <br /> 9 -Complete llama 1 endor 2 for additional services. <br /> m •complete hems s,4a,and 41b. following services(for an <br /> W <br /> •Print your name and address on the Roams of this forth so that we cen return this BMre fee): <br /> card to you. Si <br /> •A&c 1 this form to the from of the mailpiece,or on the batik if Spam does not 1. ❑ Addressee's Address <br /> •Wme'Retum Remph R uested'on the mailpiem below the article number. d <br /> Receipt <br /> $ •The Return will sow to whom the amide was delivered and the dale 2. ❑ Restricted Delivery y <br /> C delivered. Consult postmaster for fee. a <br /> Y <br /> 0 3.Article Addressed to: 4a.Article Number <br /> IA/Y _ �+� z 9ya 79Y <br /> Nam&P A za, . >E �t7. 4b.Service Type 004 <br /> 4 <br /> r° ❑ Registered N,Certified ¢ <br /> a <br /> . m ❑ Express Mail ❑ Insured zrs <br /> •�- t -�1 �� 7 y�,3 y ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery I <br /> o <br /> T <br /> Ir <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> . W and fee is paid) c <br /> ¢ H • <br /> g 6.Signature: sse Ace ) <br /> T XZrd <br /> W <br /> PS Forr811, 6ecember 1994 Domestic Return Receipt <br /> Z 416 942 7444 <br /> Cert t 9.-ss _ <br /> No Insert nce C ve age Provided �O <br /> Do not use for International Mail Co' <br /> 'o:r.,•..a iSee Reverse) C) <br /> mSem to n (� <br /> - <br /> L Sueei and No <br /> m <br /> P 0 Slate tl IP Code 47 <br /> C 0 7� 3 in <br /> G Postage o $ L0 <br /> Nl r <br /> E cm,fied Fee N <br /> O <br /> Speoai Delivery Fee <br /> AD <br /> Resocrep DeWery Fee <br /> 1 Via <br /> rr�— <br /> Return Rece,oi Showing ! Q ` <br /> to Whom a Date Delnered d) <br /> Return Rece"' Showing to WpWa. rl <br /> Date,and Addressee's Addre'sb (� <br /> TOTAL Postage <br /> res cr)mark of Date 1�33 <br />