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SENDER; <br />•Gomplele Hemel endor2 for edenbnel aerNCee. I also wish to receive the <br />f0110W1f1 SBrvICeS fnf en <br />g <br /> • Crn+plele name 3, Y, eno 40. <br />• Print your name aM address on the iewtee cl thle brm ao that we rm return Uds a%tffl tee): <br /> mrd to you. <br />• Aneoh Vila loml b the Iront of the rnHllplece, or on Ina beck n 6paCe dcea not <br />1. ^ Adtlresse9~s AddfeSs <br /> rmn. <br />• PNme WeNm ileugipl gequasted' on the menpbre below the erode nurnbar. <br />2. ^ ResMCted Delivery <br />• ~ ~ elm Receipt will show b wham Cte 8rtI019 vYS dellWred end Ure dale f.'Onsult pOSInlflSter for t9e. ti <br />~- 3. ArtIGe Adtlressed to: 4a. Article Number <br /> O <br />7 8 ~ <br />S ~'-tJ 4b <br />Service Type ` <br /> <br />E <br />JJ . <br />b <br />a <br />a <br />o ~~\1 ~~ 1(„ <br />lC4.c~.~ w ^ Registered ~Certifled s <br /> ^ Bxpress Mail ^ Insured <br /> L <br />P (' E» X S c7 ~ ^ fletum Receipt for l COD 3 <br /> c <br />O ~ y~ ~ <br />7 7. Date of Deliv <br />MA <br />~ ,~ <br /> o <br />R ~ <br /> 5. Received By: (Print Name) B. Atldresse A re Qhly i! steel Y <br /> ~(.C ~- ~~ and /says id 2(111 <br /> , <br /> 6. Sig tore: (Addre or Agent) <br />Sp <br /> <br />" Ps Form 9B11~ December~1g94 tozsas~a~n Domestic Return Receipt <br />