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n. <br />a SENDER: <br />'yr • Complete items 1 antllor 2 for additional serves. <br />r0 Complete items 3, and 4e & b. <br />~ • Print your name and address on the reverse of this loan se that we can <br />~ return this certl to you. <br />p • Attach this loan to the Iront of the mailpiece, or on the back if space <br />o does not permit. <br />2 • Write"Return fleceip[flaqueated"an the mailpiece below [he articknumbe <br />• The Retum Receipt will show to whom the article was 0¢livered and the tlat <br />~ deliveretl. <br />= 3. Article Add,rgs_sed to: 4a. AI <br />s/~!'. /?''tan ~jon to?/~k c <br />'iro/~a/~/~~v.~~ <br />~r7S~3.~2,h~ /lfio%~1 <br />~x~~8 <br />I also wish to receive the <br />following services (for an extra Y <br />feel: a <br />1. ^ Addressee's Address y° <br />2. ^ Restricted Delivery s <br />Consult postmaster for fee. o <br />•Ie Number Q <br />rice Type <br />U Registered ^ Insured <br /> <br />~Certitied ^ COD a <br />,rs <br />^ Express Mail ^ Return Receipt for ~ <br />Merchandise G <br />7. D to of 'Delivery <br />~~ ~~ •• <br />I T <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />r <br />i%! <br />DOMESTIC RETURN <br />P. x'96 <br />6~8 <br />44~ <br />. ,,, <br />~onulurance C~d// r <br />See Reva s / r I nrernationaU.~ <br />May <br /> <br />