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items 1 and/or 2 for etltlitlartal services. <br />items 3, <a, and 4b. <br />name aM edtlress on the reverse of this form tro that wa can relum Ihla <br />•Mach this lone to the from of the rruilpiece, or on the 6edc if space does n <br />permit. <br />• Wdte'Rerum Reaeipr Requested' on the mailpiece I>ebw the snide number. <br />•The Relum Receipt rill show to whom the amide was tleliveretl end the date <br />delivered. <br />t ~~ <br />~.5 r,~vxryv(ps P <br />o~j t~ns~ ~ ce- ~ y ~m. I Off' <br />~aQ., Co S~o~ <br />Ps~~811~ r t sa <br />of 1. ^ Addressee's Address •° <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />ai <br />Z <br />2. ^ Restdcted Delivery y <br />Consult postmaster for fee. <br />4a. Artlde Number-. ~ <br />~ ~ -4 ?~ 879 <br />e <br />4b. Service Type <br />~,,~ d <br />^ Registered U+"•adified <br />rn <br />^ Express Maily ^ Insured 5 <br />^ Retum Receipt for Merchandise ^ COD <br />7. Date of Delive)y f <br />l~~~g~ ° <br />T <br />B. Addre e's Address (Only it requested ~ <br />and lee is paid) i <br />P~26 43f] B79 <br />Certified Mail ~ <br />erage Provided. <br />P05taye <br />CerGf atl Fee <br />i= <br />to <br /> <br />0 <br />LL <br />!A <br />o_ <br />