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M1 <br />:tj • Complete items 1 and/or 3 for etlditional cervices. <br />, cl • Comptefe items 3, antl 4a 8 b. <br />i • Print your name antl atltlress on the reverse of this loan sp that we can <br />r > return thls card to ypu. <br />41 • Attach [his loan to [he front of the mailDtete, or on the back it space <br />tloes not permit. <br />to • Write"Return Receipt Raquestetl"on the mailpiece below the artrcle number. <br />• The Return Receipt will show rp whom [he article was deliveretl antl the date <br />~ dellveretl. <br />v 3. Article Addressed to: 4a~Arti <br />m <br />~~pUC( ~S~i v~oZ0. frJ <br />E ~', ~ Ia C~~.y $oavd of Comm 46. Ser <br />I also wish to receive the <br />following services (tor an extra <br />feel: 'S <br />1. ^ Addressee's Address y <br />w <br />2. ^ Restricted Delivery •m <br />ar tee. m <br />o ^ Registered <br />0 <br />y .~. ~x ~ ~O Certified <br />w C / /~ ~ I I J ~ ^ Express Mail <br />~ SQ/~ ~IS( l~lJ <br />~ 7. Data <br />a ~ Gc~ <br />5. ignature (Addressee) 8. Add <br />~ and <br />F- <br />6. Signature (Agent) <br />:i <br />a <br />m PS Form 3871, December 1991 OU.S. GPO: IBBS-353-714 pl <br />_~~_ ~.>- <br />0 <br />ee's Address (Only If requested s <br />is paid) ~ <br />t <br />H <br />^ Insured <br />^ COD <br />^ Return <br />G <br />~- .. <br />m <br />a <br />c <br />IeceipC for ~ <br />Idtse <br />O <br />RETURN RECEfPI <br />P 296 60B 473 <br />M <br />O <br />CV <br />O <br />O <br />U <br />C <br />Receipt for <br />Certified fUiail <br />o No Insurtl~r~appnc~~~~Ge Iovtded• <br />(See Reverse) <br /> <br />t (') <br />CV <br />COI Ip. ' <br />Q n <br />~~tl ~ <br />P Slale a 0 LPC i <br />Posla9e <br />Ce~neeu Fee <br /> <br />$peCral D¢IrvprV Fpe 41p1G <br />J p <br />V~ <br />Peslrxedfp~ r ee <br />1J VV ~~ (' <br />Aewm neceml <br />m bVnom 8 e d ~- <br />flarom nec m 5 own ~ nam <br />Dale, antl m seer's ss <br />ipiAL Fos ye <br />8 Fee[ 99 ` <br />Postmark or ra n(1{~ <br />llil <br />T <br />L~ <br />E°' <br />~~ <br />QT <br />C"YO <br />rll7 <br />~E <br />ro <br />"-/fn <br /> <br />