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SENDER: <br />Complete items 1 entl/or Z /ar additional services. I el9d Wish t0 rBCeivB thB <br />~ Complete items 3, entl N 8 b. ~~ <br />~ • Prlnt your nine end edtlrsss on the reverse of this loan ao that ws can following Services (for an extra <br /> <br />o` return this certl to you. <br />i • Attach thin loan to the Iront of the meilpiace, or on the beck if space feat: <br /> <br />1. ^ Addressee's Address <br />r does not permit. <br />• Write"Return Receipt Requested"on thameilpiace belmr the en <br />w icle number. <br />2. ^ Restricted Delivery <br />• The R•tum Receipt will show to whom the article wen delivered untl the tlete <br />CO deliveretl. Consult ostmester for fee. <br />3. Article Addressed to: , . 4e. Arti cle Number <br />/Coelrlc~.r^ <br />C <br />. <br />4~1 <br />rn~ <br />. <br />K P i (ago '~ (QS <br />1 <br />1 <br />1 <br />~ <br />- <br />I <br />4.V~1 vQ C~p,,y ~'/~ ~'.q. (+ <br />e ~ r~ <br />~ ~ 4b. Service Type <br />^ <br />^ <br />p <br />~~~~ <br />! r~OX ,19 p <br />u P( <br />C <br />' <br />"R <br />Y• Registered <br />Insured <br />^ <br />y . <br />. <br />,~ <br />. <br />~l~1 ~ rtified <br />COD <br /> ^ Express Meil ^ Return Receipt for <br /> <br />~ Merchandise <br /> <br />D 7. Date of Delivery <br />a ~ ~ ~ l <br />2 <br /> 5. Signature IAddresseel 8. Addressee's Address 9 ly if requested <br />~ <br />F end fee is paidl <br />W <br />6. atur~ t~rntl <br />5 <br />0 <br />PS arm 71, Dace er 1991 C U.S.G.P.O.: 19-2-307-530 pl <br />RETURN RECEIPT <br />O <br />.~ <br />N <br />.~ <br />.G <br />7 <br />O <br />T <br />c <br />m <br />t <br />F- <br /> <br />